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BLACK RIVER HEALTH INC
NPI 1811940331
General Acute Care Hospital - Critical Access in Black River Falls, WI

Active since May 18, 2006
711 W ADAMS ST, BLACK RIVER FALLS, WI 54615(715) 284-5361(715) 284-1390 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 4, 2025, Jan 1, 2025, May 17, 2023 (3 updates tracked since 2023).

About Black River Health Inc NPPES

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

BLACK RIVER HEALTH INC (NPI 1811940331) is a healthcare organization registered as a critical access in Black River Falls, Wisconsin and active in the NPI registry since May 2006. The organization lists Catherine M Bukowski, Cfo, as its authorized official.

NPPES Registry Identity

NPI1811940331
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameBLACK RIVER HEALTH INC
Location Address711 W ADAMS STBlack River Falls, WI 54615-9108
Mailing Address711 W Adams StBlack River Falls, WI 54615-9108 · (715) 284-5361 · Fax (715) 284-1390
Phone(715) 284-5361
Fax(715) 284-1390
Organization SubpartNo
Authorized OfficialCatherine M BukowskiCfo · (715) 284-3661
Enumeration DateMay 18, 2006
Last NPPES UpdateApril 4, 20253 updates tracked since enumeration
NPPES CertifiedApril 4, 2025
✔ NPI 1811940331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care Hospital · Critical AccessHospitals
Taxonomy Code282NC0060X
License✔ Licensed in WI · 1037
711 W ADAMS ST, Black River Falls, WI 54615
Open in Google Maps ↗

Other Identifiers 6

Medicaid32946600WI
Medicaid43417200WI
Medicaid32768200WI
Medicaid11018300WI
Medicaid11018310WI
Medicaid41221700WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Quartz and more.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)

Black River Health Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

240

Medicare enrollment records show 240 clinicians reassign Medicare billing to Black River Health Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 26 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 32

Nurse Practitioner37
Diagnostic Radiology30
Emergency Medicine26
Family Practice25
Pathology21
Certified Registered Nurse Anesthetist (CRNA)16
Pulmonary Disease14
Internal Medicine13
24 other specialties58

Nearest to this location (20)

See all 240
Carol Martin, MD
Family Practice
NPI 1326084690
711 W ADAMS ST
Black River Falls, WI 54615
(715) 284-5361
✔ PECOS✔ Accepts MedicareSame address
Tina Opelt, RN MS CS FNP
Nurse Practitioner
NPI 1588653919
711 W ADAMS ST
Black River Falls, WI 54615
(715) 284-3662
✔ PECOS✔ Accepts MedicareSame address
Nicholas Thompson, DPM
Podiatry
NPI 1144716911
711 W ADAMS ST
Black River Falls, WI 54615
(715) 284-1354
✔ PECOS✔ Accepts MedicareSame address
Edward Zhovtis, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1952556664
711 W ADAMS ST
Black River Falls, WI 54615
(715) 284-5361
✔ PECOS✔ Accepts MedicareSame address
Brenna Peters, DNP
Nurse Practitioner
NPI 1205661402
711 W ADAMS ST
Black River Falls, WI 54615
(715) 284-5361
✔ PECOS✔ Accepts Medicare0.1 mi
Alicia Strong
Nurse Practitioner
NPI 1831831320
711 W ADAMS ST
Black River Falls, WI 54615
(715) 284-5361
✔ PECOS✔ Accepts Medicare0.1 mi
Lauren Hasler, PMHNP-BC
Nurse Practitioner
NPI 1407620099
610 W ADAMS ST
Black River Falls, WI 54615
(715) 284-1899
✔ PECOS✔ Accepts Medicare0.1 mi
Shelby Nykiel, MD
Family Practice
NPI 1356998843
610 W ADAMS ST
Black River Falls, WI 54615
(715) 284-4311
✔ PECOS✔ Accepts Medicare0.1 mi
Kevin Anderson, M.D.
Family Practice
NPI 1932129665
610 W ADAMS ST
Black River Falls, WI 54615
(715) 284-4311
✔ PECOS✔ Accepts Medicare0.1 mi
Darrin Antonelli, M.D.
General Surgery
NPI 1386673481
610 W ADAMS ST
Black River Falls, WI 54615
(715) 284-4311
✔ PECOS✔ Accepts Medicare0.1 mi
Stephanie Bantell, MD
Family Practice
NPI 1225314131
610 W ADAMS ST
Black River Falls, WI 54615
(715) 284-4311
✔ PECOS✔ Accepts Medicare0.1 mi
Michelle Clark-Forsting, MD
Family Practice
NPI 1093073975
610 W ADAMS ST
Black River Falls, WI 54615
(715) 284-4311
✔ PECOS✔ Accepts Medicare0.1 mi
Jessica Dammen
Clinical Social Worker
NPI 1770971970
610 W ADAMS ST
Black River Falls, WI 54615
(715) 284-4311
✔ PECOS✔ Accepts Medicare0.1 mi
Nicholas Kitowski, M.D.
General Surgery
NPI 1720245103
610 W ADAMS ST
Black River Falls, WI 54615
(715) 284-4311
✔ PECOS✔ Accepts Medicare0.1 mi
Kirk Lane, M.D.
Family Practice
NPI 1003840372
610 W ADAMS ST
Black River Falls, WI 54615
(715) 284-4311
✔ PECOS✔ Accepts Medicare0.1 mi
Michael Mahan, M.D.
Family Practice
NPI 1922038892
610 W ADAMS ST
Black River Falls, WI 54615
(715) 284-4311
✔ PECOS✔ Accepts Medicare0.1 mi
Katrina Mcgillivray, DO
Family Practice
NPI 1578521571
610 W ADAMS ST
Black River Falls, WI 54615
(715) 284-4311
✔ PECOS✔ Accepts Medicare0.1 mi
Kelsey Underwood, FNP
Nurse Practitioner
NPI 1700555331
610 W ADAMS ST
Black River Falls, WI 54615
(715) 284-4311
✔ PECOS✔ Accepts Medicare0.1 mi
Stephen Dalcerro, PH.D.
Clinical Psychologist
NPI 1477612836
409 CTY RD R
Black River Falls, WI 54615
(715) 284-9477
✔ PECOS✔ Accepts Medicare0.4 mi
Jessica Harm
Mental Health Counselor
NPI 1235899022
920 FILLMORE ST
Black River Falls, WI 54615
(715) 797-4141
✔ PECOS✔ Accepts Medicare0.7 mi
See all 240 clinicians

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

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for Black River Memorial Hospital (CMS certification number 521333), from CMS Care Compare.

Black River Memorial Hospital

Critical Access Hospitals · Black River Falls, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521333
Location711 W Adams StBlack River Falls, WI 54615 · Jackson County · (715) 284-5361
Emergency services Meaningful use of EHRs

Patient Experience

HCAHPS patient survey · Jan 2023 – Dec 2023
5/5 summary rating
Nurse communication
5/5
Doctor communication
4/5
Staff responsiveness
5/5
Communication about medicines
5/5
Discharge information
4/5
Care transition
5/5
Cleanliness
5/5
Quietness
5/5
Overall hospital rating
4/5
Recommend hospital
4/5
Star ratings summarize responses from patients surveyed after discharge, collected through the CMS HCAHPS program.

Complications & Deaths 6

Rate of complications for hip/knee replacement patients
Cases too small to report
Death rate for heart attack patients
Cases too small to report
Death rate for COPD patients
Cases too small to report
Death rate for heart failure patients
12.6% No different than national
Death rate for pneumonia patients
17% No different than national
Death rate for stroke patients
Cases too small to report

Unplanned Hospital Visits 13

Hospital return days for heart attack patients
Cases too small to report
Hospital return days for heart failure patients
36 days per 100 discharges
Hospital return days for pneumonia patients
27 days per 100 discharges
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)
238 No different than national
Rate of inpatient admissions for patients receiving outpatient chemotherapy
Cases too small to report
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy
Cases too small to report

Timely & Effective Care 9

Healthcare workers given influenza vaccination
93%
Average (median) time patients spent in the emergency department before leaving from the visit A lower number of minutes is better
90 minutes
Average (median) time patients spent in the emergency department before leaving from the visit- Psychiatric/Mental Health Patients. A lower number of minutes is better
134 minutes
Head CT results
67
Safe Use of Opioids - Concurrent Prescribing
8%
Appropriate care for severe sepsis and septic shock
78%

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 Black River Health Inc's NPI number?

The NPI number for Black River Health Inc is 1811940331. It was assigned to this organization in the NPPES registry on May 18, 2006.

Where is Black River Health Inc located?

Black River Health Inc is located at 711 W Adams St, Black River Falls, WI 54615. The listed phone number is (715) 284-5361.

What is Black River Health Inc's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Is Black River Health Inc enrolled in Medicare?

Yes. Black River Health Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Black River Health Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 240 clinicians in 32 Medicare specialties reassign their Medicare billing to Black River Health 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 (37), Diagnostic Radiology (30) and Emergency Medicine (26). Of these, 4 practice at this address and 26 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Is Black River Health Inc a Medicare-certified hospital?

Yes. Black River Memorial Hospital is a Medicare-certified hospital (Critical Access Hospitals). The hospital provides emergency services.

What insurance does Black River Health Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Quartz and Security Health Plan list Black River Health 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 Black River Health Inc was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.