NPIMap

Individual provider Active NPI

Benjamin Augustin Nesseim, MD

  • Family Medicine Physician
  • Reedsburg, WI
National Provider Identifier
1093928004
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
52599-20 Issued in WI
Practice address
1900 N Dewey Ave
Reedsburg, WI 53959
Phone
(608) 524-6477
NPI assigned
May 7, 2007
Last updated
Jan 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 37280 IA
Family Medicine Physician 207Q00000X 52599-20 WI Primary

Addresses

Primary practice location

1900 N Dewey Ave
Reedsburg, WI 53959

Mailing address

1900 N Dewey Ave
Reedsburg, WI 53959-1098
Phone (608) 524-6477

Other practice location 1

1221 E State St
Rockford, IL 61104-2231
Phone (815) 972-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090414000341 WI Practitioner - Family Practice 1355433996 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

110 E Main St
Reedsburg, WI 53959-1936
Phone (608) 768-3900

1104 21St St
Reedsburg, WI 53959-1156
Phone (608) 768-3900

1900 N Dewey Ave
Reedsburg, WI 53959-1098
Phone (608) 524-6477

2000 N Dewey Ave
Reedsburg, WI 53959-1049
Phone (608) 524-6487

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.62 of 100Reported as group
Quality
94.84
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37280IAMDFamily Medicine Physician
52599-20WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Reedsburg Area Medical Center Inc CurrentSince Oct 1, 2018 Accepting new patients
Reedsburg Area Medical Center, Inc. Family Medicine CurrentSince Oct 1, 2018 Accepting new patients
Reedsburg Area Medical Center, Inc. CurrentSince Dec 1, 2025 Accepting new patients

Locations

1900 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6477

2000 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6487

Interoperability endpoints

  • Direct secure messaging: bnesseim656439@direct.unitypoint.org

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Reedsburg Area Medical Center IncReedsburg, WI, CCN 521351 Hospital Corporate Officer Oct 1, 2023
Ramc Physicians GroupReedsburg, WI, CCN 528591 Rural health clinic Corporate Director Oct 1, 2023
Ramc la Valle ClinicLa Valle, WI, CCN 528662 Rural health clinic Corporate Director Sep 1, 2025

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

Hospital & facility affiliations 8

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1093928004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N DEWEY AVE",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539591098",
            "telephone_number": "608-524-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N DEWEY AVE",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "53959",
            "telephone_number": "608-524-6477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 E State St",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611042231",
            "country_code": "US",
            "telephone_number": "815-972-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NESSEIM",
        "first_name": "BENJAMIN",
        "middle_name": "AUGUSTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "37280",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "52599-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reedsburg, WI

Sources for this page

Verify at the official NPI Registry.