Active NPI
Deanna May Dubray, FNP
- Family Nurse Practitioner
- Baraboo, WI
National Provider Identifier
1265051205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9888-33
- Practice address
- 707 14TH St
Baraboo, WI 53913-1597 - Phone
- (608) 356-1400
- NPI assigned
- Apr 9, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 9888-33 | WI | |
| Family Nurse Practitioner | 363LF0000X | 9888-33 | WI | Primary |
Addresses
Primary practice location
707 14TH St
Baraboo, WI 53913-1597
Mailing address
707 14TH St
Baraboo, WI 53913-1597
Phone (608) 356-1400
Other practice location 1
260 26th St
Prairie Du Sac, WI 53578-2203
Phone (608) 643-3311
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Deanna_M_Nault@ssmhealth.com |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
260 26TH St
Prairie Du Sac, WI 53578-2203
Phone (608) 643-7574
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9888-33 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care of Wisconsin, Inc. | Current | Accepting new patients | |
| SSM Health Care of Wisconsin Inc | Family | Current | Accepting new patients |
| Sauk Prairie Healthcare Inc | Current | Accepting new patients | |
| Sauk Prairie Healthcare Inc | Current | Accepting new patients | |
| Sauk Prairie Healthcare, Inc. | Current | Accepting new patients | |
| Sauk Prairie Healthcare Inc | Nurse Practitioner | Current | Accepting new patients |
| Sauk Prairie Healthcare Inc | Past | Accepting new patients |
Locations
7153 Solutions Ctr
Chicago, IL 60677
707 14th St
Baraboo, WI 53913
Phone (608) 356-1400
260 26th St
Prairie du Sac, WI 53578
Phone (608) 643-2471
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Prairie Du Sac, WI
- NPI 1861466153
-
- Nurse Practitioner
- Prairie Du Sac, WI
- NPI 1093220246
-
- Certified Registered Nurse Anesthetist
- Prairie Du Sac, WI
- NPI 1396884474
-
- Family Medicine Physician
- Sauk City, WI
- NPI 1235163494
-
- General Acute Care Hospital
- Janesville, WI
- NPI 1194004408
-
- Family Medicine Physician
- Spring Green, WI
- NPI 1609841568
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Prairie Du Sac, WI
- NPI 1861466153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649635200000",
"number": "1265051205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 14TH ST",
"city": "BARABOO",
"state": "WI",
"postal_code": "539131597",
"telephone_number": "608-356-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 14TH ST",
"city": "BARABOO",
"state": "WI",
"postal_code": "539131597",
"telephone_number": "608-356-1400"
}
],
"practiceLocations": [
{
"address_1": "260 26th St",
"address_purpose": "LOCATION",
"city": "Prairie Du Sac",
"state": "WI",
"postal_code": "535782203",
"country_code": "US",
"telephone_number": "608-643-3311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUBRAY",
"first_name": "DEANNA",
"middle_name": "MAY",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-09",
"last_updated": "2022-04-11",
"certification_date": "2022-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "9888-33",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "9888-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Deanna_M_Nault@ssmhealth.com",
"affiliation": "N",
"address_1": "707 14th St",
"city": "Baraboo",
"state": "WI",
"country_code": "US",
"postal_code": "539131597",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Baraboo, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.