NPIMap

Organization Active NPI

Aurora Health Care Southern Lakes, Inc.

  • General Acute Care Hospital
  • Elkhorn, WI
National Provider Identifier
1972628006
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
AURORA HEALTH CARE SOUTHERN LAKES, INC.
Practice address
W3985 County Road NN
Elkhorn, WI 53121
Phone
(262) 741-2000
NPI assigned
Mar 20, 2007
Last updated
Oct 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Kara Richardson
Title
VP Managed Health
Phone
(704) 631-0450

Specialties & licenses 1

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

Addresses

Primary practice location

W3985 County Road NN
Elkhorn, WI 53121

Mailing address

W3985 County Road NN
Elkhorn, WI 53121-4337
Phone (262) 741-2000

Other names 1

  • Aurora Lakeland Medical Center Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040113000636 WI Part A Provider - Hospital 1850291865 Practice locations: Delavan, WI; Elkhorn, WI; Lake Geneva, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972628006. Details of each certification follow.

Hospital certification: CCN 520102

Legal name
AURORA HEALTH CARE SOUTHERN LAKES, INC.
Doing business as
AURORA LAKELAND MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 11, 2009
Beds
99
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jan 1, 1999 (2 total)
Organization structure
CorporationNon-profit
Incorporated
Mar 15, 1922 in WI
Enrollment address
W3985 County Road NN
Elkhorn, WI 53121-4337
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Aurora Lakeland Medical CenterCCN 520102 · All quality measures
Overall star rating
5 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
Tax ID family
Aurora Amb Surg Ctr Rac6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Timothy Lineberry Individual Corporate DirectorBoard Member Jan 1, 2019
Ania Horner Individual W-2 Managing Employee Sep 6, 2022
Aurora Health Care, Inc. Organization, Milwaukee, WI Corporation, Holding company, Non-profit 5% Or Greater Direct Ownership Interest Aug 1, 1995 100%
Operational/Managerial Control Aug 1, 1995
Gabrielle Finley-Hazle Individual Corporate OfficerBoard Member Dec 15, 2023
Corporate DirectorPresident Dec 15, 2023
Jennifer Schomberg Individual Corporate DirectorBoard Member Dec 6, 2024
Tori Munnik Individual W-2 Managing EmployeeDirector Managed Health Oct 1, 2024
Rachelle Hart Individual Corporate OfficerBoard Member Jun 6, 2023
Jamie Campbell Individual Corporate OfficerPresident Apr 7, 2025
Kara Richardson Individual Corporate OfficerAssistant Treasurer Feb 1, 2025
W-2 Managing EmployeeVP Managed Health Oct 1, 2024
Tamara Frost Individual Corporate DirectorBoard Member Jul 1, 2025
Paul Ziehler Individual Corporate DirectorBoard Member Jan 1, 2019
Lindsay Durgin Individual Corporate OfficerTreasurer Jun 30, 2025
Rachel Halverson Individual Corporate OfficerBoard Member Jun 6, 2023
Desiree Millet Individual W-2 Managing EmployeeManager Managed Health Oct 1, 2024
Harold James Jr Slinkman Individual Corporate OfficerBoard Member Sep 28, 2023
Advocate Health Inc Organization, Charlotte, NC Corporation, Non-profit Operational/Managerial Control Dec 2, 2022
Paul Mihalakakos Individual Corporate DirectorBoard Member Apr 16, 2025
Advocate Aurora Health, Inc. Organization, Milwaukee, WI Created for acquisition, Non-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2018 100%
Operational/Managerial Control Apr 1, 2018 100%
Jeffrey Bard Individual Corporate DirectorBoard Member Mar 12, 2015
Jessica Bauer Individual Corporate OfficerBoard Member Jan 1, 2020

Owners & managing parties with NPI records 2

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

Facilities with the same owner 92

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

View all 92

Practitioners & affiliated clinicians

Practitioners 4

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 317

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

View all 317

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1972628006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W3985 COUNTY ROAD NN",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531214337",
            "telephone_number": "262-741-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W3985 COUNTY ROAD NN",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "53121",
            "telephone_number": "262-741-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA HEALTH CARE SOUTHERN LAKES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "VP MANAGED HEALTH",
        "authorized_official_telephone_number": "704-631-0450"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd STE B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Aurora Lakeland Medical Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Aurora Lakeland Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elkhorn, WI

Sources for this page

Verify at the official NPI Registry.