Individual provider Active NPI

Dionna Marie Pendleton, M.D.

  • Family Medicine Physician
  • Merrill, WI
National Provider Identifier
1063668994
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
54962-20 Issued in WI
Practice address
601 S Center Ave
Merrill, WI 54452-3404
Phone
(715) 539-2350
Fax
(715) 539-2434
NPI assigned
Aug 12, 2008
Last updated
Jul 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036.124091 IL
Family Medicine Physician 207Q00000X 54962-20 WI Primary
Hospitalist Physician 208M00000X 036.124091 IL

Addresses

Primary practice location

601 S Center Ave
Merrill, WI 54452-3404

Mailing address

601 S Center Ave
Merrill, WI 54452-3404
Phone (715) 539-2350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101112000683 IL Practitioner - Family PracticePractitioner - Hospitalist 4183817752 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Indiana University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120

1505 Eastland Dr
320 Crtca Plmnry SLP Med
Bloomington, IL 61701-7912
Phone (309) 661-2368

2200 E Washington St
Bloomington, IL 61701-4364
Phone (309) 662-5361

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
54962-20WIMDFamily Medicine Physician
036.124091ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Illinois, LLC Family Medicine CurrentSince Jul 1, 2015 Accepting new patients
Carle Bromenn Medical Center CurrentSince Jul 1, 2020 Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
Carle West Physician Group Inc Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Dec 1, 2016 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Cep America-Illinois Hospitalists, LLP CurrentSince Jul 20, 2025 Accepting new patients
Cep America-Illinois Hospitalists Hospitalist CurrentSince Jul 20, 2025 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Advocate Health & Hospitals Corp. CurrentSince Dec 1, 2016 Accepting new patients
Mount Sinai Community Foundation Family Medicine CurrentSince Jun 22, 2010 Accepting new patients
Cep America-Illinois Hospitalists, LLP Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Oct 1, 2022 Accepting new patients
Carle Bromenn Medical Center CurrentSince Jul 1, 2020 Accepting new patients
Mount Sinai Community Foundation CurrentSince Jun 22, 2010 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

1505 Eastland Dr
Ste 320
Bloomington, IL 61701
Phone (309) 661-2368

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

29373 Network Pl
Chicago, IL 60673

1051 W South St
Kewanee, IL 61443
Phone (309) 734-3141

1300 Franklin Ave
Ste 100
Normal, IL 61761
Phone (309) 268-3503

1300 Franklin Ave
Ste 380
Normal, IL 61761
Phone (309) 268-3589

1304 Franklin Ave
Normal, IL 61761
Phone (309) 268-3590

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

1600 W Walnut St
South Jacksonville, IL 62650
Phone (217) 245-7275

Interoperability endpoints

  • Direct secure messaging: dpendletonmd311125@carlehiedirect.net

Organizations & group practices 16

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

View all 16

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1063668994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S CENTER AVE",
            "city": "MERRILL",
            "state": "WI",
            "postal_code": "544523404",
            "telephone_number": "715-539-2350",
            "fax_number": "715-539-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S CENTER AVE",
            "city": "MERRILL",
            "state": "WI",
            "postal_code": "544523404",
            "telephone_number": "715-539-2350",
            "fax_number": "715-539-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDLETON",
        "first_name": "DIONNA",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.124091",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "54962-20",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036.124091",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrill, WI

Sources for this page

Verify at the official NPI Registry.