James R Bargenquast, MD
Individual provider Active NPI Hospitalist Physician · Appleton, WI
NPI 1386689537 · NPPES record last updated Aug 9, 2023
Key facts
- NPI
- 1386689537
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 22956 (WI)
- Practice address
- 1818 N Meade St
Appleton, WI 54911-3454 - Phone
- (920) 735-7645
- Fax
- (920) 735-7618
- NPI assigned
- Jun 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 20
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Saint Louis University School of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Thedacare, Incorporated
Practice addresses (Care Compare)
1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 735-7645
Hospital & facility affiliations
- Thedacare at Home
- Thedacare Medical Center - Berlin Inc
- Thedacare Medical Center - New London
- Thedacare Medical Center-Waupaca
- Thedacare Medical Center - New London
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
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141119000381 | WI | Practitioner - Hospitalist |
6709844939 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15491 | AZ | MD | Mental Health Counselor |
| 22956 | WI | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thedacare Medical Center - Berlin, Inc. | Current |
Accepting new patients | |
| Thedacare Medical Center - New London, Inc | Current |
Accepting new patients | |
| Thedacare Medical Center - Berlin, Inc. | Current |
Accepting new patients | |
| Thedacare Medical Center - New London, Inc. | Current |
Accepting new patients | |
| Thedacare Medical Center - Waupaca, Inc. | Current |
Accepting new patients | |
| Thedacare Medical Center - Waupaca, Inc. | Current |
Accepting new patients | |
| Thedacare, Incorporated | Current |
Accepting new patients |
Locations
1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833
122 E College Ave
Appleton, WI 54911
Phone (920) 996-3264
4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800
1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101
225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313
130 2nd St
Neenah, WI 54956
Phone (920) 729-2063
3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229
1405 Mill St
New London, WI 54961
Phone (920) 531-2000
600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000
800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000
Interoperability endpoints
- jbargenquast158990@direct.thedacare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 15491 | AZ | |
| Hospitalist Physician | 208M00000X | 22956 | WI | Yes |
Addresses
Primary practice location
1818 N Meade St
Appleton, WI 54911-3454
Mailing address
1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 731-4101
Other practice location 1
1405 Mill St
New London, WI 54961-2155
Phone (920) 531-2400
Other practice location 2
2380 N Ferguson Ave
Suite 104
Tucson, AZ 85712-2837
Phone (520) 298-3321
Other practice location 3
130 2nd St
Neenah, WI 54956-2883
Phone (920) 729-2738
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 288721 | Medicaid | AZ | |
| AZ0769140 | Other | AZ | BCBSAZ |
| 15491 | Other | AZ | AZ STATE MEDICAL LICENSE |
Other providers in Appleton, WI
- Gloria Jean Bannasch
- Avi Bar-Lev
- John Barajas
- Rebecca Barbosa
- Richard T Bares
- Shannon Nicole Barker
- Lauren K Barlow
- Barnes & Associates Dentistry SC
- Amanda C Barnes
- Kurt M Barnes
All providers in Appleton, WI · Hospitalist 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 Aug 9, 2023. 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.
- 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.