Active NPI
Jamie Russell Birkelo, PA-C
- Physician Assistant
- Madison, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 7847-23
- Practice address
- 1 S Park St
Madison, WI 53715-1375 - Phone
- (608) 287-2700
- NPI assigned
- May 4, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085003567 | IL | |
| Physician Assistant | 363A00000X | 12013 | MN | |
| Physician Assistant | 363A00000X | 7847-23 | WI | Primary |
Addresses
Primary practice location
1 S Park St
Madison, WI 53715-1375
Mailing address
7974 Uw Health CT
Middleton, WI 53562-5531
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Duke University School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 S Park St
Madison, WI 53715-1375
Phone (608) 287-2000
1050 E Broadway
Monona, WI 53716-4023
Phone (608) 222-8779
1121 Bellwest Blvd
Belleville, WI 53508-9433
Phone (608) 287-2770
20 S Park St
Madison, WI 53715-1348
Phone (608) 287-2076
4602 Eastpark Blvd
Madison, WI 53718-2002
Phone (608) 440-6400
600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-6400
7974 Uw Health CT
Middleton, WI 53562-5531
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12013 | MN | MD | Clinical Social Worker |
| 085003567 | IL | MD | Physician Assistant |
| 7847-23 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Orthopaedics at Rush LLC | Current | Accepting new patients | |
| Orthomidwest, PLLC | Physician Assistant | Current | Accepting new patients |
| Orthomidwest, PLLC | Current | Accepting new patients | |
| Midwest Orthopaedics at Rush, LLC | Current | Accepting new patients | |
| University of Wisconsin Medical Foundation, Inc | Current | Accepting new patients | |
| University of Wisconsin Medical Foundation, Inc | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Infinite Health Collaborative, PA | Past | Accepting new patients | |
| University of Wisconsin Medical Foundation Inc | Past | Accepting new patients | |
| Infinite Health Collaborative, PA | Past | Accepting new patients |
Locations
770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060
1611 W Harrison St
#400
Chicago, IL 60612
Phone (312) 243-4244
1611 W Harrison St
Ste 400
Chicago, IL 60612
Phone (312) 243-4244
1611 W Harrison St
Ste 212
Chicago, IL 60612
Phone (312) 942-4040
963 N 129th Infantry Dr
Ste 130
Joliet, IL 60435
Phone (815) 744-1812
55 Shuman Blvd
Ste 700
Naperville, IL 60563
Phone (630) 339-2225
2011 York Rd
Oak Brook, IL 60523
Phone (312) 942-6100
610 S Maple Ave
Ste 1400
Oak Park, IL 60304
Phone (708) 383-0770
2450 Wolf Rd
Ste F
Westchester, IL 60154
Phone (708) 236-2750
1 Westbrook Corporate Ctr
Ste 240
Westchester, IL 60154
25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600
4602 Eastpark Blvd
Madison, WI 53718
Phone (608) 263-7540
600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325
1 S Park St
Madison, WI 53715
Phone (608) 287-2000
7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270
Interoperability endpoints
- jbirkelo1076115@direct.unitypoint.org
Organizations & group practices 10
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
- Middleton, WI
- NPI 1598784555
-
- Orthopaedic Surgery Physician
- Chicago, IL
- NPI 1811942451
-
- Health Educator
- Madison, WI
- NPI 1487414082
-
- Durable Medical Equipment & Medical Supplies
- Orland Park, IL
- NPI 1134871908
-
- Durable Medical Equipment & Medical Supplies
- Buffalo Grove, IL
- NPI 1043180839
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Durable Medical Equipment & Medical Supplies
- River Falls, WI
- NPI 1144608589
-
- Durable Medical Equipment & Medical Supplies
- Cross Plains, WI
- NPI 1174583363
-
- Orthopaedic Surgery Physician
- Bloomington, MN
- NPI 1164474250
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Madison, WI
- NPI 1114920048
-
- Critical Access Hospital
- Stoughton, WI
- NPI 1679558647
-
- General Acute Care Hospital
- Madison, WI
- NPI 1922043744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717718400000",
"number": "1295947158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7974 UW HEALTH CT",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535625531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 S PARK ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537151375",
"telephone_number": "608-287-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRKELO",
"first_name": "JAMIE",
"middle_name": "RUSSELL",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-04",
"last_updated": "2024-06-07",
"certification_date": "2024-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085003567",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "12013",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "7847-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.