Jacob Hiatt, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

70957-21 Issued in WI

Practice address

1240 Big Jack Rd
Platteville, WI 53818-8902

Phone

(608) 348-6266

Fax

(608) 342-5600

NPI assigned

Mar 25, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI, IA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Associates Clinic P CGroup PAC ID 3870491228, 228 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Unitypoint at Home Home health agency, Dubuque, IA, CCN 167002
• Commonheart Home Health Home health agency, Waukesha, WI, CCN 527151
• Agrace Hospicecare Hospice, Madison, WI, CCN 521505
• Southwest Health Center Hospital, Platteville, WI, CCN 521354
• Mercyone Dubuque Medical Center Hospital, Dubuque, IA, CCN 160069
• St Dominic Villa Nursing home, Hazel Green, WI, CCN 525660
• Edenbrook of Platteville Nursing home, Platteville, WI, CCN 525219

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medical Associates Clinic P C

  • Multi-Specialty Clinic/Center
  • Dubuque, IA
  • NPI 1457300790

  WI

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Agrace Hospicecare, Incorporated

  • Community Based Hospice Care Agency
  • Fitchburg, WI
  • NPI 1861503534
  Care Compare affiliation
• Commonheart, Inc.

  • Home Health Agency
  • Waukesha, WI
  • NPI 1629071121
  Care Compare affiliation
• Platteville Nursing and Rehab, LLC

  • Skilled Nursing Facility
  • Platteville, WI
  • NPI 1124503834

  Nursing home

  Care Compare affiliation
• Sinsinawa Nursing Inc

  • Skilled Nursing Facility
  • Hazel Green, WI
  • NPI 1407849664

  Nursing home

  Care Compare affiliation
• Southwest Health Center, Inc

  • Critical Access Hospital
  • Platteville, WI
  • NPI 1831279793
  Care Compare affiliation
• Mercy Medical Center-Dubuque

  • General Acute Care Hospital
  • Dubuque, IA
  • NPI 1659348506
  Care Compare affiliation
• The Finley Hospital

  • Home Health Agency
  • Dubuque, IA
  • NPI 1720187560
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1053773234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 BIG JACK RD",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538188902",
            "telephone_number": "608-348-6266",
            "fax_number": "608-342-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 BIG JACK RD",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538188902",
            "telephone_number": "608-348-6266",
            "fax_number": "608-342-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIATT",
        "first_name": "JACOB",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-25",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "70957-21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Joseph Hengtgen, M.S.ED.
• Paige Hentrich, PT, DPT, ATC
• Susan Hepler
• Valerie Herber, PMHNP
• James M. Heun, M.D.
• Laurie G Hiatt, PT
• Brittany Sarah Hirsch, PTA
• Kevin Hirschey
• Richard Hodges, PSYD
• Amy Sue Hoerner

• Family Medicine Physician in Platteville, WI
• Providers in Platteville, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.