Emily Duffy
Individual provider Active NPI Hospice and Palliative Medicine (Internal Medicine) Physician · Middleton, WI
NPI 1013479674 · NPPES record last updated Jul 11, 2024
Key facts
- NPI
- 1013479674
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X
- License
- 75310-20 (WI)
- Practice address
- 1740 Park St
Middleton, WI 53562-3249 - Phone
- (605) 212-4187
- NPI assigned
- Apr 3, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- Hospice/Palliative Care
- Education
- Sanford School of Medicine of University of South Dakota, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Monument Health Rapid City Hospital Inc
Practice addresses (Care Compare)
353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-8109
Hospital & facility affiliations
- Monument Health Home Plus Hospice
- Monument Health Rapid City Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.59 of 100
- Quality
- 84.57
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 81.57
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241028002635 | SD | Practitioner - Hospice/Palliative Care | 8224438122 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75310-20 | WI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monument Health Rapid City Hospital, Inc. | Current |
Accepting new patients | |
| Monument Health Rapid City Hospital, Inc | Current | Accepting new patients | |
| Monument Health Rapid City Hospital Inc | Current |
Accepting new patients |
Locations
353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000
1420 N 10th St
Spearfish, SD 57783
Phone (605) 642-8414
Interoperability endpoints
- eduffy.152985@regionalhealth.sdhealthlink.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 75310-20 | WI | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 75310-20 | WI | Yes |
Addresses
Primary practice location
1740 Park St
Middleton, WI 53562-3249
Mailing address
1740 Park St
Middleton, WI 53562-3249
Phone (605) 212-4187
Other names
- Emily Wynja
NPI Registry JSON
{
"created_epoch": "1554249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1013479674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1740 PARK ST",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535623249",
"telephone_number": "605-212-4187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 PARK ST",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535623249",
"telephone_number": "605-212-4187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUFFY",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-03",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WI",
"license": "75310-20",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "WI",
"license": "75310-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "WYNJA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Middleton, WI
- Jennifer Linnea Doster
- Anna M Drengberg-Gilboe
- David S Ducommun
- Daniel Joseph Duffy
- David P Duffy
- Sarah Duzell
- Harvey Richard Dym
- Jerome C Ebert
- Nicole Leigh Eiler
- Empowered You Therapy Services LLC
All providers in Middleton, WI · Hospice and Palliative Medicine (Internal Medicine) Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.