Active NPI
Kerry S Dernbach, DPM
- Podiatrist
- Weston, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 900
- Practice address
- 3501 Cranberry Blvd
Weston, WI 54476 - Phone
- (715) 393-1000
- NPI assigned
- Sep 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 900 | WI | Primary |
Addresses
Primary practice location
3501 Cranberry Blvd
Weston, WI 54476
Mailing address
1000 N Oak Ave
Marshfield, WI 54449-5777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43239100 | Medicaid | WI |
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050615000132 | WI | Practitioner - Podiatry | 0244274868 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- MCHS Hospitals Inc
Practice addresses (Care Compare)
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511
1205 O Day St
Merrill, WI 54452-3416
Phone (715) 539-0101
1207 O Day St
Merrill, WI 54452-3416
Phone (715) 539-9990
3400 Ministry Pkwy
Weston, WI 54476-5220
Phone (715) 393-1000
Hospital & facility affiliations
- Compassus Home Health
- Marshfield Medical Center - Weston
- Marshfield Medical Center
- Aspirus Wausau Hospital
- Marshfield Medical Center - Minocqua
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.58 of 100
- Quality
- 55.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.46
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 51 |
| Removal of skin lesions | 18 |
| Removal of nail tissue | 309 |
| Removal or shaving of skin growth | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCHS Hospitals Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| Memorial Hospital Inc | Past | Accepting new patients |
Locations
1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
1205 O Day St
Merrill, WI 54452
Phone (715) 539-0101
3501 Cranberry Blvd
Weston, WI 54476
Phone (715) 393-1000
3400 Ministry Pkwy
Weston, WI 54476
Phone (715) 393-1000
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.
-
- Durable Medical Equipment & Medical Supplies
- Eau Claire, WI
- NPI 1558230847
-
- Rural Health Clinic/Center
- Neillsville, WI
- NPI 1619966793
Hospital & facility affiliations 14
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": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306944152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N OAK AVE",
"city": "MARSHFIELD",
"state": "WI",
"postal_code": "544495777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 CRANBERRY BLVD",
"city": "WESTON",
"state": "WI",
"postal_code": "54476",
"telephone_number": "715-393-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERNBACH",
"first_name": "KERRY",
"middle_name": "S",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WI",
"license": "900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43239100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Weston, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.