ESSENTIA HEALTH ST. MARY'S HOSPITAL SUPERIOR
NPI 1083657886
General Acute Care Hospital - Critical Access in Superior, WI
About Essentia Health St. Mary's Hospital Superior NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ESSENTIA HEALTH ST. MARY'S HOSPITAL SUPERIOR (NPI 1083657886) is a healthcare organization registered as a critical access in Superior, Wisconsin and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through April 6, 2027 and lists Kevin Boren, Vp Of Finance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Essentia Health St. Mary's Hospital Superior is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
406Medicare enrollment records show 406 clinicians reassign Medicare billing to Essentia Health St. Mary's Hospital Superior, which bills Medicare for the services they deliver. Of these, 21 practice at this address and 317 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 46
Nearest to this location (20)
See all 406Superior, WI 54880
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 Waiver 52D0983026
Essentia Health St Mary's - Superior Clinic · Superior, WIHospital Quality Ratings CMS Care Compare
Quality and patient-experience ratings for St Marys Hospital Superior (CMS certification number 521329), from CMS Care Compare.
St Marys Hospital Superior
Critical Access Hospitals · Superior, WIPatient Experience
HCAHPS patient survey · Jan 2023 – Dec 2023Complications & Deaths 4
Infections 1
Unplanned Hospital Visits 10
Timely & Effective Care 10
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 St. Mary's Hospital Of Superior's NPI number?
The NPI number for St. Mary's Hospital Of Superior is 1083657886. It was assigned to this organization in the NPPES registry on June 13, 2006. The provider is doing business as Essentia Health St. Mary's Hospital Superior.
Where is St. Mary's Hospital Of Superior located?
St. Mary's Hospital Of Superior is located at 3500 Tower Ave, Superior, WI 54880. The listed phone number is (715) 395-5400.
What is St. Mary's Hospital Of Superior's specialty?
The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.
Is St. Mary's Hospital Of Superior enrolled in Medicare?
Yes. St. Mary's Hospital Of Superior is registered in the Medicare PECOS enrollment system.
When is St. Mary's Hospital Of Superior's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Wisconsin, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through St. Mary's Hospital Of Superior?
According to the CMS Revalidation Reassignment List (October 2026 release), 406 clinicians in 46 Medicare specialties reassign their Medicare billing to St. Mary's Hospital Of Superior. 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 Nurse Practitioner (95), Emergency Medicine (61) and Family Practice (34). Of these, 21 practice at this address and 317 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does St. Mary's Hospital Of Superior hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 52D0983026) is associated with this NPI, valid through April 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
Is St. Mary's Hospital Of Superior a Medicare-certified hospital?
Yes. St Marys Hospital Superior is a Medicare-certified hospital (Critical Access Hospitals). The hospital provides emergency services.
What insurance does St. Mary's Hospital Of Superior accept?
Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Sanford Health Plan and Security Health Plan list St. Mary's Hospital Of Superior 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 St. Mary's Hospital Of Superior was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Essentia Health St. Mary's Hospital Superior · NPI 1083657886
Critical Access organization in Superior, Wisconsin. Organization record, active in the CMS NPPES registry since June 13, 2006.
## Identity
- **NPI:** 1083657886 (Entity type: Organization)
- **Enumerated:** June 13, 2006
- **Primary specialty:** General Acute Care Hospital - Critical Access · taxonomy 282NC0060X
- **Legal business name:** St. Mary's Hospital Of Superior
- **Organization subpart:** Yes (part of Essentia Health)
- **Authorized official:** Kevin Boren, VP OF FINANCE
## Practice location
- **Address:** 3500 TOWER AVE, Superior, WI 54880-5335
- **Phone:** (715) 395-5400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Wisconsin, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 406 clinicians in 46 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (95), Emergency Medicine (61), Family Practice (34); 21 practice at this address and 317 within 10 miles; [full list](https://npiprofile.com/npi/1083657886/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 28, 2024
- **Other identifiers:** Medicaid 1083657886 (WI)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083657886) · Data from the CMS NPPES public registry.