PINE RIDGE SURGERY CENTER, LLC
NPI 1669787958
Clinic/Center - Ambulatory Surgical in Wausau, WI

Active since August 11, 2010CLIA 52D2013392 · Waiver
2500 PINE RIDGE BLVD, WAUSAU, WI 54401(970) 556-8744 Get Directions Write a Review

NPPES record last updated: August 11, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pine Ridge Surgery Center, Llc NPPES

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

PINE RIDGE SURGERY CENTER, LLC (NPI 1669787958) is a healthcare organization registered as an ambulatory surgical in Wausau, Wisconsin and active in the NPI registry since August 2010. The organization holds a CLIA Waiver certificate valid through September 19, 2026 and lists Christopher Reising, President, as its authorized official.

NPPES Registry Identity

NPI1669787958
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePINE RIDGE SURGERY CENTER, LLC
Location Address2500 PINE RIDGE BLVDWausau, WI 54401-0000
Mailing Address2500 Pine Ridge BlvdWausau, WI 54401-0000
Organization SubpartNo
Authorized OfficialChristopher ReisingPresident · (715) 847-2022
Enumeration DateAugust 11, 2010
NPI 1669787958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2500 PINE RIDGE BLVD, Wausau, WI 54401

Accepted 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 52D2013392

Pine Ridge Surgery Center, LLC · Wausau, WI
Active · expires Sep 19, 2026
CLIA Number52D2013392
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 20, 2024
Certificate Expiration DateSeptember 19, 2026
Laboratory DirectorDr. Gary T. Sweet
Laboratory Phone(715) 843-1019
Laboratory LocationPine Ridge Surgery Center, LLC2500 Pine Ridge Blvd, Wausau, WI 54401
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 14

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.
27,531 services114 patients
Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg Q9968
This procedure involves an injection of a non-radioactive, non-contrast substance like methylene blue or isosulfan blue. It's used to enhance visualization during certain medical procedures, improving accuracy and safety.
1,510 services15 patients
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384
This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.
58 services58 patients
Insertion of stent in ureter using an endoscope 52332
This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.
32 services23 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
28 services15 patients
Crushing of stone of ureter with insertion of stent using an endoscope 52356
This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.
28 services25 patients

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 Pine Ridge Surgery Center, LLC's NPI number?

The NPI number for Pine Ridge Surgery Center, LLC is 1669787958. It was assigned to this organization in the NPPES registry on August 11, 2010.

Where is Pine Ridge Surgery Center, LLC located?

Pine Ridge Surgery Center, LLC is located at 2500 Pine Ridge Blvd, Wausau, WI 54401. The listed phone number is (970) 556-8744.

What is Pine Ridge Surgery Center, LLC's specialty?

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

Does Pine Ridge Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2013392) is associated with this NPI, valid through September 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pine Ridge Surgery Center, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners and Security Health Plan list Pine Ridge 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 Pine Ridge Surgery Center, LLC was last updated on August 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.