Individual provider Active NPI

James M Deline, MD

  • Family Medicine Physician
  • La Farge, WI
National Provider Identifier
1396789186
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23946 Issued in WI
Practice address
206 N Mill St
La Farge, WI 54639-6601
Phone
(608) 625-2494
Fax
(608) 638-5011
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23946 WI Primary

Addresses

Primary practice location

206 N Mill St
La Farge, WI 54639-6601

Mailing address

206 N Mill St
La Farge, WI 54639
Phone (608) 625-2494

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050531000992 WI Practitioner - Family Practice 0446292411 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vernon Memorial Healthcare, Inc. CurrentSince Oct 1, 2003 Accepting new patients
Vernon Memorial Healthcare, Inc Current Accepting new patients
Vernon Memorial Healthcare, Inc. CurrentSince Oct 1, 2003 Accepting new patients

Locations

206 N Mill St
La Farge, WI 54639
Phone (608) 625-2494

507 S Main St
Viroqua, WI 54665
Phone (608) 637-2101

100 Melby St
Westby, WI 54667
Phone (608) 634-3125

Interoperability endpoints

  • Direct secure messaging: jdeline4569@direct.gundersenhealth.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1396789186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N MILL ST",
            "city": "LA FARGE",
            "state": "WI",
            "postal_code": "54639",
            "telephone_number": "608-625-2494",
            "fax_number": "608-638-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N MILL ST",
            "city": "LA FARGE",
            "state": "WI",
            "postal_code": "546396601",
            "telephone_number": "608-625-2494",
            "fax_number": "608-638-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELINE",
        "first_name": "JAMES",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "23946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Farge, WI

Sources for this page

Verify at the official NPI Registry.