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CEDARCREST SURGERY CENTER LLC
NPI 1376259275
Clinic/Center - Ambulatory Surgical in Rice Lake, WI

Active since January 25, 2023CLIA 52D2284986 · Waiver
2200 CEDAR CREST DR STE B, RICE LAKE, WI 54868(715) 537-4960 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 29, 2024, Jan 25, 2023 (2 updates tracked since 2023).

About Cedarcrest Surgery Center Llc NPPES

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

CEDARCREST SURGERY CENTER LLC (NPI 1376259275) is a healthcare organization registered as an ambulatory surgical in Rice Lake, Wisconsin and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through July 2, 2027 and lists Kelly Renee Flach, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1376259275
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCEDARCREST SURGERY CENTER LLC
Location Address2200 CEDAR CREST DR STE BRice Lake, WI 54868-5502
Mailing Address2200 Cedar Crest Dr Ste BRice Lake, WI 54868-5500 · (715) 537-4930 · Fax (715) 537-4961
Phone(715) 537-4960
Organization SubpartNo
Authorized OfficialKelly Renee FlachExecutive Director · (715) 520-3877
Enumeration DateJanuary 25, 2023
Last NPPES UpdateOctober 29, 20252 updates tracked since enumeration
NPPES CertifiedOctober 29, 2025
✔ NPI 1376259275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2200 CEDAR CREST DR STE B, Rice Lake, WI 54868
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Accepted Insurance

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

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 52D2284986

Cedarcrest Surgery Center · Rice Lake, WI
Active · expires Jul 2, 2027
CLIA Number52D2284986
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 3, 2025
Certificate Expiration DateJuly 2, 2027
Laboratory DirectorKelly R. Flach
Laboratory Phone(715) 520-3877
Laboratory LocationCedarcrest Surgery Center2200 Cedarcrest Dr Suite B, Rice Lake, WI 54868
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
5,713 services20 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
64 services26 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
57 services29 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
30 services18 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
25 services21 patients
Repair of shoulder rotator cuff using an endoscope 29827
This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.
13 services13 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICAH D ZIMMERMAN CRNA
Nurse Anesthetist, Certified Registered
2200 CEDAR CREST DR STE B
RICE LAKE, WI 54868
Barron County (608) 346-6793
CEDARCREST SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
2200 CEDAR CREST DR STE B
RICE LAKE, WI 54868
Barron County (715) 537-4930

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 Cedarcrest Surgery Center LLC's NPI number?

The NPI number for Cedarcrest Surgery Center LLC is 1376259275. It was assigned to this organization in the NPPES registry on January 25, 2023.

Where is Cedarcrest Surgery Center LLC located?

Cedarcrest Surgery Center LLC is located at 2200 Cedar Crest Dr Ste B, Rice Lake, WI 54868. The listed phone number is (715) 537-4960.

What is Cedarcrest Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Cedarcrest Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2284986) is associated with this NPI, valid through July 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cedarcrest Surgery Center LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Quartz, Security Health Plan and UnitedHealthcare list Cedarcrest Surgery Center LLC 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 Cedarcrest Surgery Center LLC was last updated on October 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.