NPIMap

Individual provider Active NPI

Jessica M. Darling, D.O.

  • Family Medicine Physician
  • Sauk City, WI
National Provider Identifier
1134447550
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
60949-21 Issued in WI
Practice address
112 Helen St.
Sauk City, WI 53583-1101
Phone
(608) 643-3351
Fax
(608) 643-3621
NPI assigned
May 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 60949-21 WI Primary

Addresses

Primary practice location

112 Helen St.
Sauk City, WI 53583-1101

Mailing address

112 Helen St.
Sauk City, WI 53583-1101
Phone (608) 643-3351

Other identifiers 1

IdentifierTypeStateIssuer
1134447550MedicaidWI

Other names 1

  • Miss Jessica M. Premo Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessica.premo@direct.prairieclinic.nextgenshare.com Direct

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
I20131024000526 WI Practitioner - Family Practice 2961637178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sauk Prairie Healthcare IncGroup PAC ID 8224948054, 122 clinicians

Practice addresses (Care Compare)

112 Helen St
Sauk City, WI 53583-1101
Phone (608) 643-3351

260 26TH St
Prairie Du Sac, WI 53578-2203
Phone (608) 643-7574

Hospital & facility affiliations

  • Agrace Hospicecare Hospice, Madison, WI, CCN 521505
  • Sauk Prairie Hospital Hospital, Prairie Du Sac, WI, CCN 520095
  • University of Wi Hospitals & Clinics Authority Hospital, Madison, WI, CCN 520098
  • SSM Health St Clare Hospital - Baraboo Hospital, Baraboo, WI, CCN 520057
  • Maplewood of Sauk Prairie Nursing home, Sauk City, WI, CCN 525462

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60949-21WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie Clinic SC Current Accepting new patients
Sauk Prairie Healthcare Inc Current Accepting new patients
Prairie Clinic, SC Current Accepting new patients
Sauk Prairie Healthcare Inc CurrentSince Dec 21, 2025 Accepting new patients
Sauk Prairie Healthcare Inc Family Medicine Past Accepting new patients

Locations

260 26th St
Prairie du Sac, WI 53578
Phone (608) 643-2471

112 Helen St
Sauk City, WI 53583
Phone (608) 643-3351

Interoperability endpoints

  • Direct secure messaging: jessica.darling@direct.prairieclinic.nextgenshare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1273449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1134447550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 HELEN ST.",
            "city": "SAUK CITY",
            "state": "WI",
            "postal_code": "535831101",
            "telephone_number": "608-643-3351",
            "fax_number": "608-643-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 HELEN ST.",
            "city": "SAUK CITY",
            "state": "WI",
            "postal_code": "535831101",
            "telephone_number": "608-643-3351",
            "fax_number": "608-643-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARLING",
        "first_name": "JESSICA",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-10",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "60949-21",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134447550",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.premo@direct.prairieclinic.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "112 Helen St.",
            "city": "Sauk City",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535831101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "PREMO",
            "middle_name": "M.",
            "prefix": "MISS",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sauk City, WI

Sources for this page

Verify at the official NPI Registry.