Active NPI
Jeffrey Lynn Wiswell Jr., MD
- Emergency Medicine Physician
- La Crosse, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 61244-20
- Practice address
- 700 West Ave S
La Crosse, WI 54601-4783 - Phone
- (608) 785-0940
- NPI assigned
- Jun 16, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A125105 | CA | |
| Emergency Medicine Physician | 207P00000X | 61244-20 | WI | Primary |
| Emergency Medicine Physician | 207P00000X | 54320 | MN |
Addresses
Primary practice location
700 West Ave S
La Crosse, WI 54601-4783
Mailing address
PO Box 860912
Minneapolis, MN 55486-0912
Phone (507) 284-2511
Other practice location 1
4150 V Street, PSSB Suite 2100
Dept of Emergency Medicine, UC Davis Medical Center
Sacramento, CA 95817
Phone (916) 734-8249
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jwiswell27646@ehrdirect.mayoclinicmsg.org |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A125105 | CA | MD | Emergency Medicine Physician |
| 54320 | MN | MD | Emergency Medicine Physician |
| 61244-20 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Southwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Wisconsin Region, Inc. | Current | Accepting new patients |
Locations
404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
700 West Ave S
La Crosse, WI 54601
Phone (608) 791-4156
705 E Taylor St
Prairie du Chien, WI 53821
Phone (608) 357-2000
800 E Blackhawk Ave
Prairie du Chien, WI 53821
Phone (608) 326-0808
310 W Main St
Sparta, WI 54656
Phone (608) 269-1700
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- La Crosse, WI
- NPI 1629056049
-
- Critical Access Hospital
- Sparta, WI
- NPI 1841278637
-
- Multi-Specialty Clinic/Center
- La Crosse, WI
- NPI 1942980917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770768000000",
"number": "1245551001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 860912",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554860912",
"telephone_number": "507-284-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 WEST AVE S",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546014783",
"telephone_number": "608-785-0940"
}
],
"practiceLocations": [
{
"address_1": "4150 V Street, PSSB Suite 2100",
"address_2": "Dept of Emergency Medicine, UC Davis Medical Center",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "95817",
"country_code": "US",
"telephone_number": "916-734-8249",
"fax_number": "916-734-7950",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WISWELL",
"first_name": "JEFFREY",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-16",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A125105",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "61244-20",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "54320",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jwiswell27646@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "700 West Ave S",
"city": "LA Crosse",
"state": "WI",
"country_code": "US",
"postal_code": "546014783",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.