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GUNDERSEN ST. ELIZABETH'S HOSPITAL AND CLINICS
NPI 1073050274
Clinic/Center in Wabasha, MN

Active since January 25, 2017CLIA 24D0404612 · Certificate of Compliance
1200 GRANT BLVD W, WABASHA, MN 55981(651) 565-4531(651) 565-2482 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 16, 2023, Mar 5, 2021, Sep 1, 2020 and 6 more (9 updates tracked since 2017).

About Gundersen St. Elizabeth's Hospital And Clinics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GUNDERSEN ST. ELIZABETH'S HOSPITAL AND CLINICS (NPI 1073050274) is a healthcare organization registered as a clinic/center in Wabasha, Minnesota and active in the NPI registry since January 2017. The organization holds a CLIA Certificate of Compliance certificate valid through July 1, 2027 and lists John K Wolfe, Cfo, as its authorized official.

NPPES Registry Identity

NPI1073050274
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSAINT ELIZABETHS HOSPITAL OF WABASHA INC
Location Address1200 GRANT BLVD WWabasha, MN 55981-1042
Mailing Address1200 Grant Blvd WWabasha, MN 55981-1042 · (651) 565-4531 · Fax (651) 565-2482
Phone(651) 565-4531
Fax(651) 565-2482
Organization SubpartYes
Authorized OfficialJohn K WolfeCfo · (651) 565-5553
Enumeration DateJanuary 25, 2017
Last NPPES UpdateMarch 16, 20239 updates tracked since enumeration
NPPES CertifiedMarch 16, 2023
✔ NPI 1073050274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1200 GRANT BLVD W, Wabasha, MN 55981
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Other Names 1

Doing Business AsGundersen St. Elizabeth's Hospital And Clinics

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Quartz.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gundersen St. Elizabeth's Hospital And Clinics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

147

Medicare enrollment records show 147 clinicians reassign Medicare billing to Gundersen St. Elizabeth's Hospital And Clinics, which bills Medicare for the services they deliver. Of these, 14 practice at this address and 16 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 22

Emergency Medicine48
Nurse Practitioner22
Family Practice16
Diagnostic Radiology15
Certified Registered Nurse Anesthetist (CRNA)13
Cardiovascular Disease (Cardiology)7
General Surgery4
Interventional Radiology3
14 other specialties19

Nearest to this location (20)

See all 147
Allison Beito, MD
Geriatric Psychiatry
NPI 1114422490
1200 GRANT BLVD W
Wabasha, MN 55981
(651) 565-4531
✔ PECOS✔ Accepts MedicareSame address
Thomas Dudley, M.D.
Orthopedic Surgery
NPI 1174727093
1200 GRANT BLVD W
Wabasha, MN 55981
(608) 782-7300
✔ PECOS✔ Accepts MedicareSame address
Luke Helland
Emergency Medicine
NPI 1457617193
1200 GRANT BLVD W
Wabasha, MN 55981
(651) 565-4531
✔ PECOSSame address
Laura Lara, MD
Family Practice
NPI 1942881412
1200 GRANT BLVD W
Wabasha, MN 55981
(651) 565-4531
✔ PECOS✔ Accepts MedicareSame address
Sharon Riester, FNP
Nurse Practitioner
NPI 1902876808
1200 GRANT BLVD W
Wabasha, MN 55981
(651) 565-5600
✔ PECOSSame address
Mark Sandefur
Emergency Medicine
NPI 1255674073
1200 GRANT BLVD W
Wabasha, MN 55981
(608) 782-7300
✔ PECOS✔ Accepts MedicareSame address
Phillip Schwend, DO
General Surgery
NPI 1821068826
1200 GRANT BLVD W
Wabasha, MN 55981
(651) 565-5600
✔ PECOS✔ Accepts MedicareSame address
Nicole Wallis, MD
Emergency Medicine
NPI 1346443728
1200 GRANT BLVD W
Wabasha, MN 55981
(651) 565-4531
✔ PECOS✔ Accepts MedicareSame address
Malinda Wise, MSW, LICSW
Clinical Social Worker
NPI 1245727056
1200 GRANT BLVD W
Wabasha, MN 55981
(651) 565-5600
✔ PECOS✔ Accepts MedicareSame address
Brian Kelly, MD
Family Practice
NPI 1659341212
1202 5TH GRANT BLVD
Wabasha, MN 55981
(651) 565-4571
✔ PECOSSame address
Rebecca Nelson, FNP
Nurse Practitioner
NPI 1861462418
1202 5TH GRANT BLVD
Wabasha, MN 55981
(651) 565-4571
✔ PECOSSame address
Ruth Tiffault, DO
Family Practice
NPI 1205806288
1202 5TH GRANT BLVD
Wabasha, MN 55981
(651) 565-4571
✔ PECOS✔ Accepts MedicareSame address
Jennifer Hust, NP
Nurse Practitioner
NPI 1962928374
1200 GRANT BLVD W
Wabasha, MN 55981
(651) 565-4531
✔ PECOS✔ Accepts MedicareSame address
Matthew Wagner, NP
Nurse Practitioner
NPI 1053785840
1200 GRANT BLVD W
Wabasha, MN 55981
(651) 565-5600
✔ PECOS✔ Accepts MedicareSame address
Garrett Shanks, MD
Family Practice
NPI 1326627878
1200 GRANT BLVD W
Wabasha, MN 55981
(651) 565-4531
✔ PECOS✔ Accepts Medicare0.2 mi
Earle Munns, DO
Emergency Medicine
NPI 1457329211
808 12TH ST E
Wabasha, MN 55981
(817) 455-6927
✔ PECOS✔ Accepts Medicare1.5 mi
Dennis Spano, M.D.
Family Practice
NPI 1033195656
500 W GRANT ST
Lake City, MN 55041
(651) 345-3321
✔ PECOS✔ Accepts Medicare13 mi
Mark Swenson, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1275508111
500 W GRANT ST
Lake City, MN 55041
(651) 345-3321
✔ PECOS✔ Accepts Medicare13 mi
Trent Anderson, D.O.
Family Practice
NPI 1366751927
500 W GRANT ST
Lake City, MN 55041
(651) 345-3321
✔ PECOS✔ Accepts Medicare13 mi
Jacqueline Lingl, DNP, APRN, CNP
Nurse Practitioner
NPI 1598485989
20 2ND AVE NE
Plainview, MN 55964
(507) 534-3885
✔ PECOS✔ Accepts Medicare16 mi
See all 147 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 24D0404612

Gundersen St Elizabeth's Hospital And Clinics · Wabasha, MN
Active · expires Jul 1, 2027
CLIA Number24D0404612
Laboratory TypeHospital
Certificate Effective DateJuly 2, 2025
Certificate Expiration DateJuly 1, 2027
Laboratory DirectorStefan M. Brettfeld
Laboratory Phone(651) 565-4531
Laboratory LocationGundersen St Elizabeth's Hospital And Clinics1200 Grant Blvd W, Wabasha, MN 55981
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Saint Elizabeths Hospital Of Wabasha Inc's NPI number?

The NPI number for Saint Elizabeths Hospital Of Wabasha Inc is 1073050274. It was assigned to this organization in the NPPES registry on January 25, 2017. The provider is doing business as Gundersen St. Elizabeth's Hospital And Clinics.

Where is Saint Elizabeths Hospital Of Wabasha Inc located?

Saint Elizabeths Hospital Of Wabasha Inc is located at 1200 Grant Blvd W, Wabasha, MN 55981. The listed phone number is (651) 565-4531.

What is Saint Elizabeths Hospital Of Wabasha Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Saint Elizabeths Hospital Of Wabasha Inc enrolled in Medicare?

Yes. Saint Elizabeths Hospital Of Wabasha Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Saint Elizabeths Hospital Of Wabasha Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 147 clinicians in 22 Medicare specialties reassign their Medicare billing to Saint Elizabeths Hospital Of Wabasha Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (48), Nurse Practitioner (22) and Family Practice (16). Of these, 14 practice at this address and 16 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Saint Elizabeths Hospital Of Wabasha Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 24D0404612) is associated with this NPI, valid through July 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Saint Elizabeths Hospital Of Wabasha Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and Quartz list Saint Elizabeths Hospital Of Wabasha Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Saint Elizabeths Hospital Of Wabasha Inc was last updated on March 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.