Oak Leaf Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

OAK LEAF SURGERY CENTER LLC

Doing business as

River Prairie Surgery Center

Practice address

3119 Woodman Dr
Altoona, WI 54720-2668

Phone

(715) 858-3700

Fax

(715) 594-9490

NPI assigned

Nov 19, 2024

Last updated

Jan 27, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Baldock

Title

Officer and Authorized Official

Phone

(615) 234-5954

Specialties & licenses 1

Addresses

Other names 1

• River Prairie Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942025572. Details of each certification follow.

• CCN 52C0001159 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 52C0001159

Legal name

Oak Leaf Surgery Center

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Mar 24, 2025

Last certification

Mar 24, 2025

Ownership / control type

Proprietary

Facility address

3119 Woodman Dr.
Altoona, WI 54720

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Oak Leaf Surgical Hospital LLC

  • Special Hospital
  • Altoona, WI
  • NPI 1669463832

  Member Of

  NPD member

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1942025572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3119 WOODMAN DR",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202668",
            "telephone_number": "715-858-3700",
            "fax_number": "715-594-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3119 WOODMAN DR",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202668",
            "telephone_number": "715-858-3700",
            "fax_number": "715-594-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK LEAF SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5954"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Prairie Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca J Newby, PT
• Karen Renee Norman, MA, BCBA, LBA
• Northwoods Sport & Hand, Inc (Northwoods Therapy Associates)
• NSH Altoona LLC
• Ariane Nwabo, PHARMACIST
• Oak Leaf Surgical Hospital LLC
• Oak Leaf Surgical Hospital, LLC
• Ashley A Obrien, PA
• Karen Narcelles Oemig, PT
• Connor Gustav Olson, PA-C, LAT, ATC

• Ambulatory Surgical Clinic/Center in Altoona, WI
• Providers in Altoona, WI by specialty
• Ambulatory Surgical Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.