JOHNSON CREEK ASC LLC – NPI #1831059666
Clinic/Center

JOHNSON CREEK ASC LLC is an AHC clinic located in JOHNSON CREEK, WI. NPPES has assigned the NPI number 1831059666 to JOHNSON CREEK ASC LLC on November 14, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Apr 24, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHNSON CREEK ASC LLC below.

NPI Profile for
JOHNSON CREEK ASC LLC

NPI Number
1831059666
Enumeration Date

(about 7 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JOHNSON CREEK ASC LLC
Primary location
350 HARTWIG BLVD
JOHNSON CREEK, WI 53038
Phone: (262) 303-5055 Fax:
Mailing address
N15W28300 GOLF RD
PEWAUKEE, WI 53072-4800
Phone: (262) 303-5013 Fax: (262) 303-5057
Organization Subpart
No
Authorized Official
ARON VAN PELT
CFO
Phone: (262) 303-5013
Updated
Certification Date
Apr 24, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.