UPPER MISSISSIPPI SURGERY CENTER, LLC
NPI 1952153991
Clinic/Center - Ambulatory Surgical in Hazel Green, WI
About Upper Mississippi Surgery Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UPPER MISSISSIPPI SURGERY CENTER, LLC (NPI 1952153991) is a healthcare organization registered as an ambulatory surgical in Hazel Green, Wisconsin and active in the NPI registry since April 2024. The organization lists Susan Gourley, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Upper Mississippi Surgery Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Upper Mississippi Surgery Center, LLC, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 Upper Mississippi Surgery Center, LLC's NPI number?
The NPI number for Upper Mississippi Surgery Center, LLC is 1952153991. It was assigned to this organization in the NPPES registry on April 3, 2024.
Where is Upper Mississippi Surgery Center, LLC located?
Upper Mississippi Surgery Center, LLC is located at 454 Badger Road, Hazel Green, WI 53811. The listed phone number is (608) 473-1700.
What is Upper Mississippi Surgery Center, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Is Upper Mississippi Surgery Center, LLC enrolled in Medicare?
Yes. Upper Mississippi Surgery Center, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Upper Mississippi Surgery Center, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Upper Mississippi Surgery Center, LLC. 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. Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Upper Mississippi Surgery Center, LLC accept?
Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, UnitedHealthcare and Wellmark Health Plan of Iowa, Inc. list Upper Mississippi 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 Upper Mississippi Surgery Center, LLC was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Upper Mississippi Surgery Center, Llc · NPI 1952153991
Ambulatory Surgical organization in Hazel Green, Wisconsin. Organization record, active in the CMS NPPES registry since April 3, 2024.
## Identity
- **NPI:** 1952153991 (Entity type: Organization)
- **Enumerated:** April 3, 2024
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Susan Gourley, ADMINISTRATOR
## Practice location
- **Address:** 454 BADGER ROAD, Hazel Green, WI 53811
- **Phone:** (608) 473-1700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Certified Registered Nurse Anesthetist (CRNA)) reassign Medicare billing to this organization (form CMS-855R); 5 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1952153991) · Data from the CMS NPPES public registry.