ST. MARY'S HOSPITAL OF SUPERIOR
NPI 1700817079
Clinic/Center - Emergency Care in Superior, WI

Active since July 05, 2006
3500 TOWER AVE, SUPERIOR, WI 54880(715) 395-5400 Get Directions Write a Review

NPPES record last updated: March 6, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About St. Mary's Hospital Of Superior NPPES

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

ST. MARY'S HOSPITAL OF SUPERIOR (NPI 1700817079) is a healthcare organization registered as an emergency care in Superior, Wisconsin and active in the NPI registry since July 2006. The organization lists Barb Wessberg, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1700817079
Entity TypeOrganization
Primary Taxonomy261QE0002X
Legal Business NameST. MARY'S HOSPITAL OF SUPERIOR
Location Address3500 TOWER AVESuperior, WI 54880-5335
Mailing Address3500 Tower AveSuperior, WI 54880-5335 · (715) 395-5400
Organization SubpartYes
Authorized OfficialBarb WessbergChief Operating Officer · (715) 395-5407
Enumeration DateJuly 5, 2006
Last NPPES UpdateMarch 6, 2008
✔ NPI 1700817079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Emergency CareAmbulatory Health Care Facilities
Taxonomy Code261QE0002X
License✔ Licensed in WI · 5516-800
3500 TOWER AVE, Superior, WI 54880

Other Identifiers 1

Medicare PIN00270WI

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)

St. Mary's Hospital Of 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.

StateEnrollment IDDue date
StateWisconsinEnrollment IDO20040309000070Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

381

Medicare enrollment records show 381 clinicians reassign Medicare billing to St. Mary's Hospital Of Superior, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 307 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 45

Nurse Practitioner93
Emergency Medicine56
Family Practice32
Internal Medicine30
Diagnostic Radiology19
Clinical Social Worker14
Hospitalist14
Cardiovascular Disease (Cardiology)10
37 other specialties113

Nearest to this location (20)

See all 381
Emergency Medicine
NPI 1043255342
3500 TOWER AVE
Superior, WI 54880
(715) 395-5454
✔ PECOS✔ Accepts MedicareSame address
Marriage and Family Therapist
NPI 1649445669
3500 TOWER AVE ESSENTIA HEALTH ST, MARY'S-SUPERIOR CLINIC
Superior, WI 54880
(715) 817-7100
✔ PECOSSame address
Optometry
NPI 1770525347
3500 TOWER AVE
Superior, WI 54880
(715) 395-5454
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1942240577
3500 TOWER AVE
Superior, WI 54880
(715) 395-5454
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1700896420
3500 TOWER AVE
Superior, WI 54880
(715) 395-5454
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1386870624
3500 TOWER AVE ESSENTIA HEALTH ST. MARY'S SUPERIOR CLINIC
Superior, WI 54880
(715) 817-7100
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1720006141
3500 TOWER AVE
Superior, WI 54880
(715) 395-5400
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1801057955
3500 TOWER AVE
Superior, WI 54880
(715) 817-7100
✔ PECOS✔ Accepts Medicare0.1 mi
Hospitalist
NPI 1427008259
3500 TOWER AVE
Superior, WI 54880
(715) 817-7000
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1609530153
3500 TOWER AVE
Superior, WI 54880
(218) 817-7100
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1770107294
3500 TOWER AVE
Superior, WI 54880
(715) 817-7100
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1154016707
3500 TOWER AVE
Superior, WI 54880
(715) 817-7100
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1780454546
3500 TOWER AVE
Superior, WI 54880
(715) 817-7100
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1285208520
3500 TOWER AVE
Superior, WI 54880
(715) 817-7100
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1376158204
3500 TOWER AVE
Superior, WI 54880
(715) 817-7100
✔ PECOS0.1 mi
Hospitalist
NPI 1053051078
3500 TOWER AVE
Superior, WI 54880
(218) 786-8364
✔ PECOS✔ Accepts Medicare0.1 mi
Emergency Medicine
NPI 1104230408
3500 TOWER AVENUE EH ST MARY'S SUPERIOR CLINIC
Superior, WI 54880
(715) 817-7100
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1396497426
3500 TOWER AVE
Superior, WI 54880
(715) 817-7100
✔ PECOS0.1 mi
Clinical Social Worker
NPI 1821059536
3500 TOWER AVE
Superior, WI 54880
(715) 817-7100
✔ PECOS0.1 mi
Emergency Medicine
NPI 1356737555
3500 TOWER AVENUE
Superior, WI 54880
(715) 817-7100
✔ PECOS✔ Accepts Medicare0.1 mi
See all 381 clinicians

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

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 1700817079. It was assigned to this organization in the NPPES registry on July 5, 2006.

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 Clinic/Center, specializing in Emergency Care, with taxonomy code 261QE0002X.

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), 381 clinicians in 45 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 (93), Emergency Medicine (56) and Family Practice (32). Of these, 7 practice at this address and 307 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does St. Mary's Hospital Of Superior accept?

Health plans from HealthPartners 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 March 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.