Individual provider Active NPI

James Dennis Lierman, NP

  • Family Nurse Practitioner
  • Mauston, WI
National Provider Identifier
1356029300
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14124 Issued in WI
Practice address
1050 Division St
Mauston, WI 53948-1931
Phone
(608) 847-6161
NPI assigned
Jul 10, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 14124 WI Primary

Addresses

Primary practice location

1050 Division St
Mauston, WI 53948-1931

Mailing address

N3810 State Road 58
Mauston, WI 53948-9305

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230912003849 WI Practitioner - Nurse Practitioner 3971967761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mile Bluff Medical Center IncGroup PAC ID 8527971399, 87 clinicians

Practice addresses (Care Compare)

1040 Division St
Mauston, WI 53948-1931
Phone (608) 847-1852

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
14124WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mile Bluff Medical Center Inc CurrentSince Sep 1, 2023 Accepting new patients
Mile Bluff Medical Center Inc CurrentSince Sep 1, 2023 Accepting new patients
Mile Bluff Medical Center Inc Past Accepting new patients
Mile Bluff Medical Center Inc Past Accepting new patients
Mile Bluff Medical Center Inc Past Accepting new patients
Mile Bluff Medical Center Inc Past Accepting new patients
Mile Bluff Medical Center Inc Past Accepting new patients

Locations

1515 Academy St
Elroy, WI 53929
Phone (608) 462-8414

1040 Division St
Mauston, WI 53948
Phone (608) 847-5000

1050 Division St
Mauston, WI 53948
Phone (608) 847-6161

1408 Wheelihan Ave
Necedah, WI 54646
Phone (608) 565-2000

901 W Bridge St
New Lisbon, WI 53950
Phone (608) 562-3111

28 Commerce St
Wisconsin Dells, WI 53965
Phone (608) 254-5888

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.

Hospital & facility affiliations 2

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": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1356029300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N3810 STATE ROAD 58",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539489305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 DIVISION ST",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481931",
            "telephone_number": "608-847-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIERMAN",
        "first_name": "JAMES",
        "middle_name": "DENNIS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "14124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mauston, WI

Sources for this page

Verify at the official NPI Registry.