GUNDERSEN LUTHERAN MEDICAL CENTER INC
NPI 1790646719
Clinic/Center in La Crosse, WI
About Gundersen Lutheran Medical Center Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GUNDERSEN LUTHERAN MEDICAL CENTER INC (NPI 1790646719), doing business as Emplify Health Pediatric Mobile Unit, is a healthcare organization registered as a clinic/center in La Crosse, Wisconsin and active in the NPI registry since November 2025. The organization lists Debra L Van Pay, Director, Reimbursement, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Accepted 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 Lutheran Medical Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
1,452Medicare enrollment records show 1,452 clinicians reassign Medicare billing to Gundersen Lutheran Medical Center Inc, which bills Medicare for the services they deliver. Of these, 21 practice at this address and 942 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 71
Nearest to this location (20)
See all 1,452Source: 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 Gundersen Lutheran Medical Center Inc's NPI number?
The NPI number for Gundersen Lutheran Medical Center Inc is 1790646719. It was assigned to this organization in the NPPES registry on November 19, 2025. The provider is doing business as Emplify Health Pediatric Mobile Unit. The provider is also known as Gundersen Pediatric Mobile Unit.
Where is Gundersen Lutheran Medical Center Inc located?
Gundersen Lutheran Medical Center Inc is located at 1910 South Ave, La Crosse, WI 54601. The listed phone number is (608) 782-7300.
What is Gundersen Lutheran Medical Center Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Gundersen Lutheran Medical Center Inc enrolled in Medicare?
Yes. Gundersen Lutheran Medical Center Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gundersen Lutheran Medical Center Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1,452 clinicians in 71 Medicare specialties reassign their Medicare billing to Gundersen Lutheran Medical Center 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 Nurse Practitioner (200), Internal Medicine (118) and Family Practice (101). Of these, 21 practice at this address and 942 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Gundersen Lutheran Medical Center Inc accept?
Health plans from Quartz list Gundersen Lutheran Medical Center 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 Gundersen Lutheran Medical Center Inc was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Gundersen Lutheran Medical Center Inc · NPI 1790646719
Clinic/Center organization in La Crosse, Wisconsin. Organization record, active in the CMS NPPES registry since November 19, 2025.
## Identity
- **NPI:** 1790646719 (Entity type: Organization)
- **Enumerated:** November 19, 2025
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Also known as:** Emplify Health Pediatric Mobile Unit (Doing Business As); GUNDERSEN PEDIATRIC MOBILE UNIT (Other Name)
- **Organization subpart:** No
- **Authorized official:** Debra Van Pay, DIRECTOR, REIMBURSEMENT
## Practice location
- **Address:** 1910 SOUTH AVE, La Crosse, WI 54601-5467
- **Phone:** (608) 782-7300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1,452 clinicians in 71 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (200), Internal Medicine (118), Family Practice (101); 21 practice at this address and 942 within 10 miles; [full list](https://npiprofile.com/npi/1790646719/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 31, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790646719) · Data from the CMS NPPES public registry.