NPIMap

Individual provider Active NPI

David J Locknane, PAC

  • Physician Assistant
  • Arbor Vitae, WI
National Provider Identifier
1144429176
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2163 Issued in WI
Practice address
1815 Fawn CT
Arbor Vitae, WI 54568-9765
Phone
(715) 356-2537
NPI assigned
Jul 11, 2007
Last updated
Oct 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2163 WI Primary

Addresses

Primary practice location

1815 Fawn CT
Arbor Vitae, WI 54568-9765

Mailing address

1815 Fawn CT
Arbor Vitae, WI 54568-9765
Phone (715) 358-2537

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
I20071003000333 WI Practitioner - Physician Assistant 9638264831 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc.Group PAC ID 9335059856, shared by 17 NPIs, 566 clinicians
Aspirus Medical Group, Inc.Group PAC ID 1052223625, 272 clinicians

Practice addresses (Care Compare)

240 Maple St
Woodruff, WI 54568-9190
Phone (715) 356-8140

3300 Westhill Dr
Wausau, WI 54401-4710
Phone (715) 847-2605

4005 Community Ctr Dr
Weston, WI 54476-4139
Phone (715) 241-5400

420 Dewey St
Wisconsin Rapids, WI 54494-4714
Phone (715) 421-7474

663 Maratech Ave
Marathon, WI 54448-9002
Phone (715) 443-2727

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.53 of 100Reported as group
Quality
77.62
Promoting interoperability
100
Improvement activities
40
Cost
78.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2163WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Feb 21, 2022 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Feb 21, 2022 Accepting new patients
Aspirus Wausau Hospital, Inc CurrentSince Nov 1, 2021 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Nov 1, 2021 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000

663 Maratech Ave
Marathon, WI 54448
Phone (715) 443-2727

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-3000

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

2400 Marshall St
Ste A
Wausau, WI 54403
Phone (715) 848-4600

3300 Westhill Dr
Wausau, WI 54401
Phone (715) 843-1039

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

3400 Ministry Pkwy
Weston, WI 54476
Phone (715) 393-1000

4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

611 Veterans Pkwy
Woodruff, WI 54568
Phone (715) 358-8600

Interoperability endpoints

  • Direct secure messaging: dlocknane51983@direct.aspirus.org

Organizations & group practices 8

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 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224028800000",
    "number": "1144429176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 FAWN CT",
            "city": "ARBOR VITAE",
            "state": "WI",
            "postal_code": "545689765",
            "telephone_number": "715-358-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 FAWN CT",
            "city": "ARBOR VITAE",
            "state": "WI",
            "postal_code": "545689765",
            "telephone_number": "715-356-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKNANE",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2008-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "2163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arbor Vitae, WI

Sources for this page

Verify at the official NPI Registry.