NPIMap

Organization Active NPI

Medical Services, Inc

Doing business as Tamarack Health Water's Edge

  • Skilled Nursing Facility
  • Hayward, WI
National Provider Identifier
1902810450
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2929 Issued in WI
Legal business name
MEDICAL SERVICES, INC
Doing business as
Tamarack Health Water's Edge
Water's Edge
Practice address
11040 N State Road 77
Hayward, WI 54843-6391
Phone
(715) 634-4321
Fax
(715) 934-4379
NPI assigned
Jul 28, 2006
Last updated
Nov 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Authorized official

Name
Luke Beirl
Title
Ceo
Phone
(715) 934-4244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2929 WI Primary

Addresses

Primary practice location

11040 N State Road 77
Hayward, WI 54843-6391

Mailing address

11040 N State Road 77
Hayward, WI 54843-6391
Phone (715) 934-4321

Other identifiers 1

IdentifierTypeStateIssuer
20123700MedicaidWI

Other names 2

  • Tamarack Health Water's Edge Doing business as
  • Water's Edge Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031013000031 WI Part A Provider - Skilled Nursing Facility 9436061363 1 other NPI on this enrollment
Practice locations: Hayward, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902810450. Details of each certification follow.

Skilled nursing facility certification: CCN 525632

Legal name
MEDICAL SERVICES, INC
Doing business as
WATER'S EDGE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 1, 1997
Last certification
May 14, 2025
Beds
50
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Enrollment address
11040 N State Road 77
Hayward, WI 54843-3606
Nursing home name
WATER'S EDGE

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Water's EdgeCCN 525632 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Nov 1, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5036.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2004630Water's Edge11040 N State Rd 77, Hayward, WI 54843Certificate of waiverMar 8, 2028

National Provider Directory

National Provider Directory
Tax ID family
Hayward Area Memorial H5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 42

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

NameRoleSinceShare
Thomas Jokinen Individual Corporate Director Aug 1, 2025
Managing Control - Governing Body Aug 1, 2025
Christine Iverson Individual Corporate Director Aug 1, 2025
Managing Control - Governing Body Aug 1, 2025
Dani Mikula Individual Corporate Director Aug 1, 2025
Managing Control - Governing Body Aug 1, 2025
John Garrett Individual Corporate Director Apr 1, 2016
Managing Control - Governing Body Apr 1, 2016
Anna Henck Individual Operational/Managerial Control Jan 19, 2026
Adp of the SNF Jan 19, 2026
Kylah Eckes Individual Corporate Director Apr 1, 2023
Managing Control - Governing Body Apr 1, 2023
Medical Solutions LLC Organization, Omaha, NE LLC, Medical staffing company Adp of the SNF Jun 1, 2025
Health Dimensions Consulting Inc Organization, Hopkins, MN Medical staffing company Adp of the SNF Nov 14, 2025
Patricia Schraufnagel Individual Corporate Director Aug 1, 2025
Managing Control - Governing Body Aug 1, 2025
Alan Lee Bowman Individual Operational/Managerial Control Apr 7, 2025
Adp of the SNF Apr 7, 2025
Actualmeds Corporation Organization, Tallahassee, FL Corporation Adp of the SNF Oct 1, 2015
Martha Grace Courtright Individual Operational/Managerial Control Oct 12, 2022
Adp of the SNF Oct 11, 2022
Richard Setzke Individual Corporate Director Aug 1, 2025
Managing Control - Governing Body Aug 1, 2025
Aistis J Tumas Individual Corporate Director Oct 1, 2025
Managing Control - Governing Body Oct 1, 2025
Tyler Wickman Individual Corporate Director Aug 1, 2025
Managing Control - Governing Body Aug 1, 2025
Sabrina Ann Dunlap Individual Corporate Director Aug 1, 2025
Managing Control - Governing Body Aug 1, 2025
Taylor Pearson Individual Corporate Director Aug 1, 2025
Managing Control - Governing Body Aug 1, 2025
Sam Norbert Kuchinka Individual Corporate Director Oct 1, 2025
Managing Control - Governing Body Oct 1, 2025
Dodson W Thompson Individual Corporate DirectorBoard Member Apr 1, 2022
Managing Control - Governing Body Apr 1, 2022
Heather Sheehan Individual Operational/Managerial Control Aug 27, 2007
Adp of the SNF Aug 27, 2007
Individual Adp of the SNF Jan 7, 2020
Joseph John Signorelli Individual Corporate Director Aug 1, 2025
Managing Control - Governing Body Aug 1, 2025
Joy Keller Individual Operational/Managerial Control Jul 18, 2022
Adp of the SNF Jul 18, 2022
Aindrea Lindsay Individual Operational/Managerial Control Nov 26, 2018
Adp of the SNF Nov 26, 2018
Frandsen Bank and Trust Organization, West Arden Hills, MN Financial institution Adp of the SNF Jan 1, 2020
Michelle Thrasher Individual Operational/Managerial Control Dec 18, 2012
Adp of the SNF Dec 18, 2012
Richard Augustine Hoban Individual Corporate Director Jan 1, 2020
Managing Control - Governing Body Jan 1, 2020
Katrina E Gardner Individual Corporate Director Aug 1, 2025
Managing Control - Governing Body Aug 1, 2025
Leadingchoice Network LLC Organization, Madison, WI Operational/Managerial Control Jul 1, 2016
Adp of the SNF Apr 15, 2025
Debra Miller Individual Operational/Managerial Control Jun 15, 1989
Adp of the SNF Jun 15, 1989
Amergis Healthcare Staffing, Inc. Organization, Columbia, MD Medical staffing company Adp of the SNF Jan 1, 2023
Anna Skar Individual Operational/Managerial Control Jun 4, 2018
Adp of the SNF Jun 4, 2018
Debra Piecuch Individual Operational/Managerial Control May 29, 2018
Adp of the SNF May 29, 2018
Luke Daniel Beirl Individual Corporate OfficerCeo Apr 11, 2018
Operational/Managerial Control Apr 11, 2018
Managing Control - Governing Body Apr 11, 2018
Kent J Dumonseau Individual Corporate OfficerCfo Aug 19, 2013
Operational/Managerial Control Aug 19, 2013
Adp of the SNF Aug 19, 2013
Amanda Stangret Individual Operational/Managerial Control Apr 9, 2019
Adp of the SNF Apr 9, 2019
Scott Maanum Individual Operational/Managerial Control Aug 8, 2011
Adp of the SNF Aug 8, 2011
Organization, Chicago, IL Consulting firm Adp of the SNF Nov 11, 2025
Regional Enterprises Inc Organization, Ashland, WI Non-profit 5% Or Greater Direct Ownership Interest Sep 21, 1987 100%
Adp of the SNF Mar 27, 2025
Amanda R Manning Individual Operational/Managerial Control Apr 22, 2022
Adp of the SNF Apr 22, 2022
David Wegener Individual Operational/Managerial Control Mar 1, 2021
Adp of the SNF Mar 1, 2021
Hilary Helenius Individual Operational/Managerial Control Mar 6, 2025
Adp of the SNF Mar 6, 2025

Owners & managing parties with NPI records 7

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

Facilities with the same owner 9

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

Practitioners & affiliated clinicians

Practitioners 28

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 28

Affiliated clinicians 5

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

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1902810450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11040 N STATE ROAD 77",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548436391",
            "telephone_number": "715-934-4321",
            "fax_number": "715-934-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11040 N STATE ROAD 77",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548436391",
            "telephone_number": "715-634-4321",
            "fax_number": "715-934-4379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "BEIRL",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "715-934-4244"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20123700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tamarack Health Water's Edge",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Water's Edge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayward, WI

Sources for this page

Verify at the official NPI Registry.