Individual provider Active NPI

Matthew J Jergenson, MD

  • Cardiovascular Disease Physician
  • La Crosse, WI
National Provider Identifier
1235691072
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
7530320 Issued in WI
Practice address
1836 South Ave
La Crosse, WI 54601-5429
Phone
(608) 782-7300
NPI assigned
Apr 1, 2019
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD-49870 IA
Internal Medicine Physician 207R00000X 7530320 WI
Cardiovascular Disease Physician 207RC0000X 7530320 WI Primary

Addresses

Primary practice location

1836 South Ave
La Crosse, WI 54601-5429

Mailing address

1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300

Other practice location 1

600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-6400

Other practice location 2

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (800) 777-8442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI, IA3 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

Enrollment IDStateProvider typePAC IDDetails
I20250828000271 MN Practitioner - Cardiovascular Disease (Cardiology) 7719211648 Reassigns benefits to 2 organizations
I20250828000777 WI Practitioner - Internal Medicine 7719211648 Reassigns benefits to 12 organizations
I20250916002427 IA Practitioner - Cardiovascular Disease (Cardiology) 7719211648 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gundersen Lutheran Medical Center IncGroup PAC ID 2163331414, shared by 16 NPIs, 888 clinicians
Gundersen Clinic LTDGroup PAC ID 9638082779, 422 clinicians
Gundersen Regional Clinics, LLCGroup PAC ID 8820450919, 51 clinicians
Tri-County Memorial Hospital IncGroup PAC ID 4587642418, 75 clinicians

Practice addresses (Care Compare)

1122 W Hwy 61
Winona, MN 55987-1957
Phone (507) 615-0600

120 2ND Ave SE
Waukon, IA 52172-2073
Phone (563) 568-3000

123 SE 5TH Ave
Spring Grove, MN 55974-1318
Phone (507) 498-3302

1830 State Hwy 9
Suite 100
Decorah, IA 52101-7301
Phone (563) 382-3140

1836 S Ave
La Crosse, WI 54601-5429
Phone (608) 783-7300

18601 Lincoln St
Whitehall, WI 54773-8605
Phone (715) 538-4361

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-49870IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gundersen Lutheran Express Care, Inc CurrentSince Sep 8, 2025 Accepting new patients
Gundersen Regional Clinics LLC CurrentSince Sep 8, 2025 Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Sep 8, 2025 Accepting new patients
St. Joseph's Health Services, Inc. CurrentSince Sep 8, 2025 Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Sep 8, 2025 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Oct 21, 2025 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Sep 8, 2025 Accepting new patients
Tri-County Memorial Hospital, Inc. Current Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Sep 8, 2025 Accepting new patients
Memorial Hospital of Boscobel CurrentSince Sep 8, 2025 Accepting new patients
Vernon Memorial Healthcare, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Sep 8, 2025 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Sep 8, 2025 Accepting new patients
Gundersen Regional Clinics, LLC CurrentSince Sep 8, 2025 Accepting new patients
St. Joseph's Health Services, Inc. CurrentSince Sep 8, 2025 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc Internal Medicine CurrentSince Sep 8, 2025 Accepting new patients
Memorial Hospital of Boscobel CurrentSince Sep 8, 2025 Accepting new patients
Gundersen Clinic LTD CurrentSince Sep 8, 2025 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Sep 8, 2025 Accepting new patients
Palmer Lutheran Health Center, Inc. CurrentSince Sep 9, 2025 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Sep 8, 2025 Accepting new patients
Gundersen Clinic LTD CurrentSince Sep 8, 2025 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Oct 21, 2025 Accepting new patients
Gundersen Lutheran Medical Center, Inc. Past Accepting new patients

Locations

1830 State Highway 9
Ste 100
Decorah, IA 52101
Phone (563) 382-3140

120 2nd Ave SE
Waukon, IA 52172
Phone (563) 568-3000

112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811

123 5th Ave SE
Spring Grove, MN 55974
Phone (507) 498-3302

1200 Grant Blvd W
Wabasha, MN 55981
Phone (651) 565-4531

1122 W Highway 61
Winona, MN 55987
Phone (507) 615-0600

711 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-1302

205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681

610 E Taylor St
Prairie du Chien, WI 53821
Phone (608) 326-6466

501 Gopher Dr
Tomah, WI 54660
Phone (608) 371-2181

505 Gopher Dr
Tomah, WI 54660
Phone (608) 372-2181

507 S Main St
Viroqua, WI 54665
Phone (608) 637-2101

18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-1712

Interoperability endpoints

  • Direct secure messaging: mjergenson1127456@direct.emplifyhealth.org

Organizations & group practices 28

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.

View all 28

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1235691072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537920001",
            "country_code": "US",
            "telephone_number": "608-263-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Hawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "800-777-8442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JERGENSON",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "MD-49870",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "7530320",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "7530320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

Verify at the official NPI Registry.