Individual provider Active NPI

Mark Washburn, DO

  • Family Medicine Physician
  • Eau Claire, WI
National Provider Identifier
1154901353
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
81034-21 Issued in WI
Practice address
617 W Clairemont Ave
Eau Claire, WI 54701-6223
Phone
(715) 834-2788
NPI assigned
Apr 12, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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 81034-21 WI Primary

Addresses

Primary practice location

617 W Clairemont Ave
Eau Claire, WI 54701-6223

Mailing address

2403 Folsom St
Eau Claire, WI 54703-2435
Phone (715) 552-9784

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240806001417 WI Practitioner - Family Practice 6709288228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakleaf Clinics IncGroup PAC ID 4486831328, 103 clinicians

Practice addresses (Care Compare)

3221 Stein Blvd
Eau Claire, WI 54701-6930
Phone (715) 834-2788

Hospital & facility affiliations

  • Aveanna Home Health Home health agency, Eau Claire, WI, CCN 527334
  • Oakleaf Surgical Hospital Hospital, Altoona, WI, CCN 520196

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81034-21WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oakleaf Clinics Inc CurrentSince Aug 5, 2024 Accepting new patients
Oakleaf Clinics Inc Family Medicine CurrentSince Aug 5, 2024 Accepting new patients
Oakleaf Clinics Inc Family Medicine Past Accepting new patients
Oakleaf Clinics Inc Family Medicine Past Accepting new patients

Locations

3221 Stein Blvd
Eau Claire, WI 54701
Phone (715) 833-2116

3221 Stein Blvd
Ste 4
Eau Claire, WI 54701
Phone (715) 834-2788

719 W Hamilton Ave
Ste B
Eau Claire, WI 54701

3213 Stein Blvd
Eau Claire, WI 54701
Phone (715) 552-9784

2403 Folsom St
Eau Claire, WI 54703

3802 Oakwood Mall Dr
Eau Claire, WI 54701
Phone (715) 831-8130

617 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 834-2788

2919 Stout Rd
Menomonie, WI 54751
Phone (715) 235-4274

Interoperability endpoints

  • Direct secure messaging: mwashburn29959@oakleafmed.gardenplot.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1154901353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 FOLSOM ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547032435",
            "telephone_number": "715-552-9784",
            "fax_number": "715-835-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 W CLAIREMONT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016223",
            "telephone_number": "715-834-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHBURN",
        "first_name": "MARK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-12",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "81034-21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.