Individual provider Active NPI

Stephen John Bloechl, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • La Crosse, WI
National Provider Identifier
1316181795
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
1200 Issued in WI
Practice address
1836 South Ave
La Crosse, WI 54601-5429
Phone
(608) 782-7300
NPI assigned
Apr 28, 2009
Last updated
Sep 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X 4301110610 MI
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 1200 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

5900 Byron Center Ave SW
Wyoming, MI 49519-9606
Phone (616) 252-7166

Other practice location 2

200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone (616) 685-6258

Other identifiers 1

IdentifierTypeStateIssuer
1316181795MedicaidMI

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
I20140522000642 MN Practitioner - Pathology 8022231943 Reassigns benefits to 1 organization
I20210615001681 WI Practitioner - Pathology 8022231943 Reassigns benefits to 14 organizations
I20210618001575 IA Practitioner - Pathology 8022231943 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-County Memorial Hospital IncGroup PAC ID 4587642418, 75 clinicians

Practice addresses (Care Compare)

1200 Grant Blvd W
Wabasha, MN 55981-1042
Phone (651) 565-4531

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

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

402 W Lake St
Friendship, WI 53934-9699
Phone (608) 339-3331

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1200WIMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gundersen Lutheran Express Care, Inc CurrentSince Jun 14, 2021 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince May 26, 2021 Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Jun 14, 2021 Accepting new patients
St. Joseph's Health Services, Inc. Current Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Jun 14, 2021 Accepting new patients
Veterans Memorial Hospital City of Waukon Ia Current Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Apr 1, 2022 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Veterans Memorial Hospital City of Waukon Ia CurrentSince Sep 22, 2021 Accepting new patients
Prairie Du Chien Memorial Hospital Association Inc CurrentSince Oct 24, 2022 Accepting new patients
Tri-County Memorial Hospital, Inc. Current Accepting new patients
Veterans Memorial Hospital City of Waukon Ia CurrentSince Sep 22, 2021 Accepting new patients
Veterans Memorial Hospital City of Waukon Ia Current Accepting new patients
Memorial Hospital of Boscobel CurrentSince Jun 14, 2021 Accepting new patients
Vernon Memorial Healthcare, Inc. CurrentSince Apr 26, 2023 Accepting new patients
Gundersen Clinic LTD CurrentSince Jun 14, 2021 Accepting new patients
Prairie Du Chien Memorial Hospital Association Inc CurrentSince Oct 24, 2022 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Jun 23, 2021 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Jun 22, 2021 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Jun 14, 2021 Accepting new patients
St. Joseph's Health Services, Inc. CurrentSince Jul 15, 2021 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc CurrentSince Jun 22, 2021 Accepting new patients
Memorial Hospital of Boscobel CurrentSince Jun 14, 2021 Accepting new patients
Gundersen Clinic LTD CurrentSince Jun 14, 2021 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Jun 14, 2021 Accepting new patients
Palmer Lutheran Health Center, Inc. CurrentSince Jun 23, 2021 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince May 26, 2021 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Apr 1, 2022 Accepting new patients

Locations

40 1st St SE
Waukon, IA 52172
Phone (563) 568-3411

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

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

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

37868 US Highway 18
Prairie du Chien, WI 53821
Phone (608) 357-2000

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

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

407 S Main St
Viroqua, WI 54665
Phone (608) 637-3195

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: sbloechl533232@direct.emplifyhealth.org

Organizations & group practices 29

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 29

Hospital & facility affiliations 11

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": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1316181795",
    "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": "5900 Byron Center Ave SW",
            "address_purpose": "LOCATION",
            "city": "Wyoming",
            "state": "MI",
            "postal_code": "495199606",
            "country_code": "US",
            "telephone_number": "616-252-7166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Jefferson Ave SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495034502",
            "country_code": "US",
            "telephone_number": "616-685-6258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOECHL",
        "first_name": "STEPHEN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-28",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "MI",
            "license": "4301110610",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WI",
            "license": "1200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316181795",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

Verify at the official NPI Registry.