Organization Active NPI

St. Joseph's Health Services, Inc.

  • Critical Access Hospital
  • Hillsboro, WI
National Provider Identifier
1972591410
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
1005 Issued in WI
Legal business name
ST. JOSEPH'S HEALTH SERVICES, INC.
Practice address
400 Water Ave
Hillsboro, WI 54634-9054
Phone
(608) 489-8000
NPI assigned
Oct 10, 2005
Last updated
Mar 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Authorized official

Name
Robin Nelson
Title
Cfo
Phone
(608) 489-8103

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU
Critical Access Hospital 282NC0060X 1005 WI Primary

Addresses

Primary practice location

400 Water Ave
Hillsboro, WI 54634-9054

Mailing address

PO Box 527
Hillsboro, WI 54634-0527
Phone (608) 489-8000

Other identifiers 6

IdentifierTypeStateIssuer
210453OtherWIDEAN HEALTH PLAN
W002642OtherWICHAMPUS
5919HJOOtherMNBCBS MN
11007400MedicaidWI
11007410MedicaidWI
5919HJOOtherWIATRIUM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20040615000273 WI Part B Supplier - Clinic/Group Practice 3971586439 Receives reassigned benefits from 307 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wonewoc, WI; Whitehall, WI; Viroqua, WI; Prairie Du Chien, WI; Onalaska, WI; Mequon, WI; Madison, WI; La Crosse, WI…
O20061104000314 WI Part A Provider - Critical Access Hospital 3971586439 Receives reassigned benefits from 87 practitioners
Practice locations: Hillsboro, WI; Wonewoc, WI; Elroy, WI
O20070525000579 WI Part A Provider - Critical Access Hospital 3971586439 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hillsboro, WI
O20110801000451 WI Part A Provider - Rural Health Clinic 3971586439 Practice locations: Hillsboro, WI
O20110810000560 WI Part A Provider - Rural Health Clinic 3971586439 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wonewoc, WI

NPI to CCN mapping 4

The Medicare certification numbers (CCNs) connected to NPI 1972591410. Details of each certification follow.

Hospital certification: CCN 521304

Legal name
ST JOSEPH'S HEALTH SERVICES INC
Doing business as
GUNDERSEN ST. JOSEPH'S HOSPITAL AND CLINICS
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Mar 8, 2000
Last certification
Apr 22, 2026
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
400 Water Ave
Hillsboro, WI 54634-9054
Other Hospital Practice Location

Hospital certification: CCN 52Z304

Legal name
ST JOSEPH'S HEALTH SERVICES INC
Doing business as
GUNDERSEN ST. JOSEPH'S HOSPITAL AND CLINICS
Organization structure
CorporationNon-profit
Enrollment address
400 Water Ave
Hillsboro, WI 54634-9054
Other Hospital Practice Location

Rural health clinic certification: CCN 528540

Legal name
ST JOSEPH'S HEALTH SERVICES INC
Doing business as
GUNDERSEN ST. JOSEPH'S HOSPITAL AND CLINICS
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 1, 2011
Last certification
May 17, 2022
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jun 6, 1949 in WI
Enrollment address
400 Water Ave
Hillsboro, WI 54634-9054
Related CCNs
521304

Rural health clinic certification: CCN 528539

Legal name
ST JOSEPH'S HEALTH SERVICES INC
Doing business as
GUNDERSEN ST. JOSEPH'S HOSPITAL AND CLINICS
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 1, 2011
Last certification
May 13, 2025
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jun 6, 1949 in WI
Enrollment address
301 Railroad Rd
Wonewoc, WI 53968-9425
Related CCNs
521304

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 5

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Gundersen St Josephs Hospital and ClinicsCCN 521304 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Natalie Adams Individual Corporate Director Jan 1, 2021
Corporate DirectorBoard Member Jan 1, 2021
Jennifer Boigenzahn Individual Corporate OfficerFinance Administrator Mar 31, 2025
W-2 Managing EmployeeFinance Admin Feb 1, 2026
Dana Meyers Individual Corporate DirectorBoard Member Oct 1, 2020
Ann M Brandau-Hynek Individual Corporate Director Nov 27, 1966
Corporate Director Jul 1, 2010
Corporate OfficerBoard Member Jul 1, 2011 9%
Corporate DirectorBoard Member Jul 1, 2011 9%
Bellin Gundersen Health System Inc Organization, La Crosse, WI Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Nov 30, 2022 100%
Operational/Managerial Control Nov 30, 2022
Kraig Schuster Individual Corporate OfficerVP - Operations Feb 1, 2026
Jon Woolever Individual Corporate DirectorBoard Member Jan 18, 2024
Michael McKee Individual Corporate Director Jun 21, 2018
Corporate DirectorBoard Member Oct 1, 2020
Jeri Weger Individual Corporate DirectorCommunity Board Member Apr 17, 2025
Gundersen Lutheran Health System Inc Organization, La Crosse, WI Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jun 3, 2011 100%
Operational/Managerial Control Jun 3, 2011
5% Or Greater Direct Ownership Interest Jul 1, 2011 100%
Operational/Managerial Control Jul 1, 2011 50%
Operational/Managerial Control Jul 1, 2011
Annette Lechnir Individual Corporate Director Jan 1, 2023
Hannah Young Individual Corporate OfficerAdministrator Jun 1, 2026
Stacie Christensen Individual Corporate Director Feb 1, 2022
W-2 Managing Employee Feb 1, 2026
Holly Boisen Individual Corporate Director Jan 1, 2023

Facilities with the same owner 49

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

View all 49

Practitioners & affiliated clinicians

Practitioners 152

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 152

Affiliated clinicians 131

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

View all 131

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1972591410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 527",
            "city": "HILLSBORO",
            "state": "WI",
            "postal_code": "546340527",
            "telephone_number": "608-489-8000",
            "fax_number": "608-489-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WATER AVE",
            "city": "HILLSBORO",
            "state": "WI",
            "postal_code": "546349054",
            "telephone_number": "608-489-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH'S HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "608-489-8103"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "WI",
            "license": "1005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH PLAN",
            "identifier": "210453",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "W002642",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MN",
            "identifier": "5919HJO",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11007400",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11007410",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATRIUM",
            "identifier": "5919HJO",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, WI

Sources for this page

Verify at the official NPI Registry.