NPIMap

Organization Active NPI

Gundersen Clinic LTD

  • Clinic/Center
  • La Crosse, WI
National Provider Identifier
1851343115
Registry record updated Apr 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GUNDERSEN CLINIC LTD
Practice address
1836 South Ave
La Crosse, WI 54601-5429
Phone
(608) 782-7300
Fax
(608) 775-7440
NPI assigned
May 16, 2006
Last updated
Apr 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2025

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

Authorized official

Name
Kari B Adank
Title
Cco
Phone
(608) 775-8025

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Dental Clinic/Center 261QD0000X NU
Durable Medical Equipment & Medical Supplies 332B00000X NU

Addresses

Primary practice location

1836 South Ave
La Crosse, WI 54601-5429

Mailing address

1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300

Other identifiers 3

IdentifierTypeStateIssuer
0900753MedicaidIA
32746100MedicaidWI
793310000MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN, IA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031106000139 WI Part B Supplier - Clinic/Group Practice 9638082779 Receives reassigned benefits from 1,052 practitioners
19 other NPIs on this enrollment
O20031113000579 MN Part B Supplier - Clinic/Group Practice 9638082779 Receives reassigned benefits from 150 practitioners
4 other NPIs on this enrollment
Practice locations: Mabel, MN; Mendota Heights, MN; Rochester, MN; Rushford, MN; Spring Grove, MN; Wabasha, MN; Winona, MN; Lacrescent, MN…
O20040130000561 IA Part B Supplier - Clinic/Group Practice 9638082779 Receives reassigned benefits from 191 practitioners
2 other NPIs on this enrollment
Practice locations: Lansing, IA; McGregor, IA; Monona, IA; Oelwein, IA; Ossian, IA; Postville, IA; Waukon, IA; Decorah, IA…

Other NPIs on the same Medicare enrollment 25

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 25

National Provider Directory

National Provider Directory

Locations

855 Mankato Ave
Winona, MN 55987
Phone (507) 454-3680

895 Mankato Ave
Winona, MN 55987

464 S Saint Joseph Ave
Arcadia, WI 54612
Phone (608) 323-3341

310 Parker St
Boscobel, WI 53805
Phone (608) 375-4133

123 16th Ave S
Onalaska, WI 54650
Phone (608) 775-2287

424 N Beaumont Rd
Prairie du Chien, WI 53821
Phone (608) 326-8472

610 E Taylor St
Prairie du Chien, WI 53821
Phone (608) 326-6466

310 W Main St
Sparta, WI 54656
Phone (608) 269-1700

400 Jefferson Ave
Sparta, WI 54656
Phone (608) 269-2132

Practitioners & affiliated clinicians

Practitioners 1,370

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.

View all 1,370

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745625600000",
    "number": "1851343115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300",
            "fax_number": "608-775-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300",
            "fax_number": "608-775-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNDERSEN CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2025-04-26",
        "certification_date": "2025-04-26",
        "status": "A",
        "authorized_official_last_name": "ADANK",
        "authorized_official_first_name": "KARI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "608-775-8025"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0900753",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32746100",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "793310000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.