Jerry Russell Bartleson, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

163749 Issued in NY

Practice address

7434 Song Lake Rd
Tully, NY 13159-9211

Phone

(315) 569-6329

Fax

(315) 696-5539

NPI assigned

Jun 12, 2006

Last updated

Jan 26, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY, MN, PA, IA4 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 4

Specialty

Emergency Medicine

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakewood Health CenterGroup PAC ID 5698687929, shared by 5 NPIs, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Shore Health Hospital, Grand Marais, MN, CCN 241317
• Lakewood Health Center Hospital, Baudette, MN, CCN 241301
• Bucktail Medical Center Hospital, Renovo, PA, CCN 391304

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jbartleson@bmc.securechart.com
• Direct secure messaging: jbartleson@hiemail.healtheconnections.org
• Direct secure messaging: jbartleson812667@direct.centracare.com

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.

• Barnes-Kasson County Hospital

  • Critical Access Hospital
  • Susquehanna, PA
  • NPI 1932138161
  Medicare reassignment NPD
• Bucktail Medical Center

  • Critical Access Hospital
  • Renovo, PA
  • NPI 1821083700
  Medicare reassignment NPD
• Cook County Hospital District

  dba Cook County North Shore Hospital and Care Center

  • Critical Access Hospital
  • Grand Marais, MN
  • NPI 1487712493
  Medicare reassignment NPD
• DLP Conemaugh Physician Practices LLC

  dba Conemaugh Physician Group Cresson

  • Family Medicine Physician
  • Cresson, PA
  • NPI 1932515905
  Medicare reassignment NPD
• Keokuk County Health Center

  • Critical Access Hospital
  • Sigourney, IA
  • NPI 1376611103
  Medicare reassignment NPD
• Lakewood Health Center

  dba CHI Lakewood Health

  • Critical Access Hospital
  • Baudette, MN
  • NPI 1922072776
  Medicare reassignment NPD
• Lakewood Health Center

  dba CHI Lakewood Health

  • Clinic/Center
  • Baudette, MN
  • NPI 1972799237
  Medicare reassignment NPD
• Swift County-Benson Hospital

  • Critical Access Hospital
  • Benson, MN
  • NPI 1174529002
  Medicare reassignment NPD
• Michael PM Pond, MD

  • Emergency Medicine Physician
  • Lake Placid, NY
  • NPI 1962472514
  Medicare reassignment
• Barnes-Kasson County Hospital

  • Rural Health Clinic/Center
  • Honesdale, PA
  • NPI 1659180388
  NPD
• Bucktail Medical Center

  • Ambulance
  • Renovo, PA
  • NPI 1518944735
  NPD
• Carris Health - Redwood LLC

  • Emergency Medicine Physician
  • Redwood Falls, MN
  • NPI 1265914048
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bucktail Medical Center

  • Critical Access Hospital
  • Renovo, PA
  • NPI 1821083700
  Care Compare affiliation
• Cook County Hospital District

  dba Cook County North Shore Hospital and Care Center

  • Critical Access Hospital
  • Grand Marais, MN
  • NPI 1487712493
  Care Compare affiliation
• Lakewood Health Center

  dba CHI Lakewood Health

  • Critical Access Hospital
  • Baudette, MN
  • NPI 1922072776
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1386686376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7434 SONG LAKE RD",
            "city": "TULLY",
            "state": "NY",
            "postal_code": "131599211",
            "telephone_number": "315-569-6329",
            "fax_number": "315-696-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7434 SONG LAKE RD",
            "city": "TULLY",
            "state": "NY",
            "postal_code": "131599211",
            "telephone_number": "315-569-6329",
            "fax_number": "315-696-5539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Pine St",
            "address_purpose": "LOCATION",
            "city": "Renovo",
            "state": "PA",
            "postal_code": "177641620",
            "country_code": "US",
            "telephone_number": "570-923-1000",
            "fax_number": "570-923-0118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTLESON",
        "first_name": "JERRY",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "31435",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "28860",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD446096",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "163749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163749",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "981088900",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31522700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seth F Aldrich, PHD
• Katalina Michelle Bartelt, PA-C
• Mary Elizabeth Bean, FNP
• Sally F Beattie
• Jonathan William Biggar, RN
• Gianna Boles, FNP-C
• Brian Conners, R.PH.

• Emergency Medicine Physician in Tully, NY
• Providers in Tully, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.

Verify at the official NPI Registry.