Active NPI
Barrett E Shoults, MD
- Emergency Medicine Physician
- Mauston, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 63220-20
- Practice address
- 1050 Division St
Mauston, WI 53948-1931 - Phone
- (630) 430-7563
- NPI assigned
- Apr 2, 2013
- Last updated
- Oct 19, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 63220-20 | WI | Primary |
Addresses
Primary practice location
1050 Division St
Mauston, WI 53948-1931
Mailing address
1050 Division St
Mauston, WI 53948-1931
Phone (630) 430-7563
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- 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
- Emergency Medicine
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1050 Division St
Mauston, WI 53948-1931
Phone (608) 847-6161
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reedsburg Area Medical Center Inc | Current | Accepting new patients | |
| Mile Bluff Medical Center Inc | Current | Accepting new patients | |
| Mile Bluff Medical Center Inc | Emergency Medicine | Current | Accepting new patients |
| Reedsburg Area Medical Center, Inc. | Current | Accepting new patients |
Locations
3400 E Racine St
Janesville, WI 53546
Phone (608) 373-8000
1040 Division St
Mauston, WI 53948
Phone (608) 847-5000
1050 Division St
Mauston, WI 53948
Phone (608) 847-6161
2000 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6487
28 Commerce St
Wisconsin Dells, WI 53965
Phone (608) 254-5888
Interoperability endpoints
- barrett.shoults@direct.milebluff.com
Organizations & group practices 5
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.
-
dba Mile Bluff ER/UC Providers
- Emergency Medicine Physician
- Mauston, WI
- NPI 1609912005
-
- Critical Access Hospital
- Reedsburg, WI
- NPI 1891796710
-
- Emergency Medicine Physician
- Madison, WI
- NPI 1588646095
-
dba Mile Bluff Urgent Care
- Urgent Care Clinic/Center
- Mauston, WI
- NPI 1437958683
-
dba RAMC La Valle Clinic
- Rural Health Clinic/Center
- La Valle, WI
- NPI 1437049566
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mile Bluff Urgent Care
- Urgent Care Clinic/Center
- Mauston, WI
- NPI 1437958683
Hospital
-
dba Mile Bluff Hospital
- General Acute Care Hospital
- Mauston, WI
- NPI 1568487411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697673600000",
"number": "1144563610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 DIVISION ST",
"city": "MAUSTON",
"state": "WI",
"postal_code": "539481931",
"telephone_number": "630-430-7563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 DIVISION ST",
"city": "MAUSTON",
"state": "WI",
"postal_code": "539481931",
"telephone_number": "630-430-7563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOULTS",
"first_name": "BARRETT",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-02",
"last_updated": "2023-10-19",
"certification_date": "2023-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "63220-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mauston, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.