Active NPI
Dionna Marie Pendleton, M.D.
- Family Medicine Physician
- Merrill, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 54962-20
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Indiana University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 54962-20 | WI | MD | Family Medicine Physician |
| 036.124091 | IL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians of Illinois, LLC | Family Medicine | Current | Accepting new patients |
| Carle Bromenn Medical Center | Current | Accepting new patients | |
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| Carle West Physician Group Inc | Family Medicine | Current | Accepting new patients |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Cep America-Illinois Hospitalists, LLP | Current | Accepting new patients | |
| Cep America-Illinois Hospitalists | Hospitalist | Current | Accepting new patients |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health & Hospitals Corp. | Current | Accepting new patients | |
| Mount Sinai Community Foundation | Family Medicine | Current | Accepting new patients |
| Cep America-Illinois Hospitalists, LLP | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Carle Bromenn Medical Center | Current | Accepting new patients | |
| Mount Sinai Community Foundation | Current | 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
- 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.
-
- Internal Medicine Physician
- Belleville, IL
- NPI 1841613403
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
dba Advocate Medical Group
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
dba Bromenn Family Health Clinic
- Clinic/Center
- Normal, IL
- NPI 1104442615
-
- Family Medicine Physician
- Normal, IL
- NPI 1467074138
-
dba Sinai Medical Group
- Rehabilitation Hospital
- Chicago, IL
- NPI 1376715896
-
- Hospitalist Physician
- Bridgeton, MO
- NPI 1043598865
Family Medicine, IL
-
dba Bethany Hospital
- Emergency Medicine Physician
- Chicago, IL
- NPI 1750315545
-
dba Advocate Children's Hospital
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
dba Advocate BroMenn Medical Center
- General Acute Care Hospital
- Normal, IL
- NPI 1962424036
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Hospitalist Physician
- Bloomington, IL
- NPI 1669276523
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba OSF Saint Elizabeth Medical Center
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
-
dba OSF Saint James- John W Albrecht Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Pontiac, IL
- NPI 1023060613
Nursing home
-
dba Osf Saint James-John W Albrecht Medical Center
- General Acute Care Hospital
- Pontiac, IL
- NPI 1407808090
-
dba OSF Saint Joseph Medical Center
- General Acute Care Hospital
- Bloomington, IL
- NPI 1619916806
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.