John P Wuennenberg, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

023705 Issued in AL

Practice address

1007 Harbor Hills Dr Ste C
Marquette, MI 49855-8977

Phone

(906) 225-5458

Fax

(906) 225-1179

NPI assigned

May 4, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 5

Medicare fee-for-service enrollment

Enrolled in AL, MI, WI3 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 3

Specialty

DermatologyAlso: Micrographic Dermatologic Surgery (MDS)

Education

University of Kansas School of Med (KC/Wich/Sal), 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forefront Dermatology SC 650 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uphs Marquette DLP Hospital Hospital, Marquette, MI, CCN 230054

Merit-based Incentive Payment System (MIPS)

Final score

97.45 of 100Reported as group

Promoting interoperability

97

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.wuennenberg@forefrontdermatology.emadirect.md

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.

• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Grand Rapids, MI
  • NPI 1912347923

  Dermatology, MI

  Medicare reassignment NPD
• Aqua Dermatology of Alabama PC

  • MOHS-Micrographic Surgery Physician
  • Vestavia HLS, AL
  • NPI 1477708642

  AL, Dermatology

  Medicare reassignment NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Appleton, WI
  • NPI 1083768253

  Dermatology, WI

  Medicare reassignment NPD
• Sunrise Skin Cancer Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Mobile, AL
  • NPI 1225579485

  AL

  Medicare reassignment NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Marquette, MI
  • NPI 1891125290

  Dermatology

  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Columbus, OH
  • NPI 1063365385

  Dermatology

  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Sturgeon Bay, WI
  • NPI 1700830650

  Dermatology

  NPD
• Curators of the University of Missouri

  • Community/Retail Pharmacy
  • Jefferson City, MO
  • NPI 1740083641
  NPD (past)
• Cutaneous Oncology & Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Vestavia HLS, AL
  • NPI 1699139915
  NPD (past)
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Manitowoc, WI
  • NPI 1578515904

  Dermatology

  NPD (past)

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

• DLP Marquette General Hospital LLC

  • General Acute Care Hospital
  • Marquette, MI
  • NPI 1568727048

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1124554589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 HARBOR HILLS DR STE C",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498558977",
            "telephone_number": "906-225-5458",
            "fax_number": "906-225-1179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 Ludington St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Escanaba",
            "state": "MI",
            "postal_code": "498294218",
            "country_code": "US",
            "telephone_number": "906-553-6093",
            "fax_number": "906-553-6958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3515 Murray St",
            "address_purpose": "LOCATION",
            "city": "Marinette",
            "state": "WI",
            "postal_code": "541433367",
            "country_code": "US",
            "telephone_number": "715-732-0699",
            "fax_number": "715-732-3522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5501A Vern Holmes Dr",
            "address_purpose": "LOCATION",
            "city": "Stevens Point",
            "state": "WI",
            "postal_code": "544829791",
            "country_code": "US",
            "telephone_number": "715-344-0172",
            "fax_number": "715-344-3684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 N 17th Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Wausau",
            "state": "WI",
            "postal_code": "544014281",
            "country_code": "US",
            "telephone_number": "715-849-5333",
            "fax_number": "715-849-4083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WUENNENBERG",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-04",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "023705",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MI",
            "license": "4301504930",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "John.Wuennenberg@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "3500 Ludington St Ste 300",
            "city": "Escanaba",
            "state": "MI",
            "country_code": "US",
            "postal_code": "498294218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "John.Wuennenberg@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1007 Harbor Hills Dr Ste C",
            "city": "Marquette",
            "state": "MI",
            "country_code": "US",
            "postal_code": "498558977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "John.Wuennenberg@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "3515 Murray St",
            "city": "Marinette",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541433367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "John.Wuennenberg@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "5501A Vern Holmes Dr",
            "city": "Stevens Point",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544829791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "John.Wuennenberg@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "510 N 17th Ave Ste C",
            "city": "Wausau",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544014281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wright & Filippis, Inc.
• Wright Street Dental, PC
• Jane E Wright, P.T.
• Jesse Wright, RN
• Sarah Wright, LLMSW
• Nicholas Wujcik
• Caleb Yeargan
• Heather Yeargan, NP
• Young Men'S Christian Association of Marquette County
• Alisha Ann Young, LLMSW

• All providers in Marquette, MI
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.