NPIMap

Organization Active NPI

St. Josephs Community Hospital of West Bend Inc.

Doing business as Froedtert West Bend Hospital

  • General Acute Care Hospital
  • West Bend, WI
National Provider Identifier
1851336044
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
44 Issued in WI
Legal business name
ST. JOSEPHS COMMUNITY HOSPITAL OF WEST BEND INC.
Doing business as
Froedtert West Bend Hospital
Practice address
3200 Pleasant Valley Rd
West Bend, WI 53095-9274
Phone
(262) 334-5533
NPI assigned
Jun 19, 2006
Last updated
Oct 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Allen J Ericson
Title
President
Phone
(262) 836-8391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 44 WI Primary

Addresses

Primary practice location

3200 Pleasant Valley Rd
West Bend, WI 53095-9274

Mailing address

N74W12501 Leatherwood CT Ste 103
Menomonee Falls, WI 53051-4490
Phone (414) 777-0417

Other names 1

  • Froedtert West Bend Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050901000028 WI Part A Provider - Hospital 9436112497 Practice locations: West Bend, WI
O20190731003382 WI Part B Supplier - Intensive Cardiac Rehabilitation 9436112497 Practice locations: West Bend, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851336044. Details of each certification follow.

Hospital certification: CCN 520063

Legal name
ST JOSEPHS COMMUNITY HOSPITAL OF WEST BEND INC
Doing business as
FROEDTERT WEST BEND HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jun 8, 2010
Beds
121
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
3200 Pleasant Valley Rd
West Bend, WI 53095-9274
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
St Josephs Community Hospital West BendCCN 520063 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

4644 Lincoln Blvd
Ste 102
Marina del Rey, CA 90292
Phone (310) 822-0022

1110 Oak St
West Bend, WI 53095
Phone (262) 306-7850

3200 Pleasant Valley Rd
#A1
West Bend, WI 53095
Phone (262) 257-3073

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Froedtert Thedacare Health, Inc. Organization, Milwaukee, WI Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2008 100%
Matthew R Partridge Individual Corporate OfficerSenior Vice President, Finance Dec 1, 2025
Patrick Patton Individual Corporate Director Jul 1, 2023
Shelly Waala Individual Corporate Director Jan 1, 2017
Peter Rettler Individual Corporate Director Jul 1, 2017
Steven Volkert Individual Corporate Director Aug 1, 2017
Bryce Gartland Individual Corporate Director Jul 1, 2025
Michael Degere Individual Corporate Director Jul 1, 2023
Carey M Cameron Individual Corporate Director Sep 28, 2023
Michelle M Arneson Individual Corporate Director Jul 1, 2023
David Ertmer Individual Corporate Director Jul 1, 2025
Matthew M Weston Individual Corporate Officer Jul 1, 2022
Mark W Semrad Individual Corporate Director Jul 1, 2024
Susanne Bartow Individual Corporate Director Jul 1, 2023
Michael Nowack Individual Corporate Director Jul 1, 2025
Tracy Haas Individual Corporate Director Jul 1, 2025
Jennifer Wimmer Individual Corporate Director Jul 1, 2025
Allen Ericson Individual Corporate DirectorPresident Jul 1, 2021
W-2 Managing Employee Jul 1, 2021
Operational/Managerial Control Jul 1, 2021
Amanda Gonring Individual Corporate Director Feb 24, 2026

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 25

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 25

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 625

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 625

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1851336044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N74W12501 LEATHERWOOD CT STE 103",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530514490",
            "telephone_number": "414-777-0417",
            "fax_number": "414-777-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 PLEASANT VALLEY RD",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530959274",
            "telephone_number": "262-334-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPHS COMMUNITY HOSPITAL OF WEST BEND INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "ERICSON",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-836-8391"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WI",
            "license": "44",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Froedtert West Bend Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Bend, WI

Sources for this page

Verify at the official NPI Registry.