Colleen L McCurry, M.D.
Individual provider Active NPI Family Medicine Physician · Boscobel, WI
NPI 1356754238 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1356754238
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 67154-20 (WI)
- Practice address
- 205 Parker St
Boscobel, WI 53805-1642 - Phone
- (608) 375-4112
- NPI assigned
- Jun 9, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 13
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Hospital of Boscobel
Practice addresses (Care Compare)
208 Parker St
Boscobel, WI 53805-1648
Phone (608) 375-2424
220 Lincoln Ave
Fennimore, WI 53809-1036
Phone (608) 822-3737
525 N Wisconsin Ave
Muscoda, WI 53573-9251
Phone (608) 739-3138
Hospital & facility affiliations
- Agrace Hospicecare
- St Croix Hospice Baraboo
- Gundersen Boscobel Area Hospital and Clinics
- Crossing Rivers Health Medical Center
- University of Wi Hospitals & Clinics Authority
- Gundersen Lutheran Medical Center
- Care and Rehab - Boscobel
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Care and Rehab - Boscobel |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Sep 1, 2017 Sep 1, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171017002986 | WI | Practitioner - Family Practice | 8426324534 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital of Boscobel | Current |
Accepting new patients | |
| Memorial Hospital of Boscobel | Current |
Accepting new patients | |
| Memorial Hospital of Boscobel | Past | Accepting new patients |
Locations
205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112
208 Parker St
Boscobel, WI 53805
Phone (608) 375-2424
Interoperability endpoints
- cmccurry221976@direct.emplifyhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 67154-20 | WI | Yes |
Addresses
Primary practice location
205 Parker St
Boscobel, WI 53805-1642
Mailing address
205 Parker St
Boscobel, WI 53805-1642
Phone (608) 375-4112
Other providers in Boscobel, WI
- Jennifer Lund
- Lindsey Lund
- Judith C Lyness
- Mariah M Mayne
- Jennifer K McClimon
- Collin Perry McDowell
- Michael S. Mecikalski
- Memorial Hospital of Boscobel
- Memorial Hospital of Boscobel
- Memorial Hospital of Boscobel
All providers in Boscobel, WI · Family Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.