Active NPI
Veronica Rejon, MD
- Family Medicine Physician
- Lake Mills, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 55886-20
- Practice address
- 200 E Tyranena Park Rd
Lake Mills, WI 53551-9678 - Phone
- (920) 648-8393
- NPI assigned
- Aug 4, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 55886-20 | WI | Primary |
Addresses
Primary practice location
200 E Tyranena Park Rd
Lake Mills, WI 53551-9678
Mailing address
217 N Main St
Edgerton, WI 53534-1613
Phone (608) 884-9431
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497069231 | Medicaid | WI |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111221000496 | WI | Practitioner - Family Practice | 9032385026 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Curana Health of Wisconsin Inc
Practice addresses (Care Compare)
1366 E Sumner St
Suite 1002
Hartford, WI 53027-1614
Phone (337) 408-0805
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55886-20 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health System Corporation | Current | Accepting new patients | |
| Curana Health of Wisconsin Inc | Current | Accepting new patients | |
| CH Specialty Services Wi SC | Current | Accepting new patients | |
| Fort Healthcare Inc | Family Medicine | Current | Accepting new patients |
| Fort Healthcare Inc | Family Medicine | Current | Accepting new patients |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients |
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
348 S Division St
Harvard, IL 60033
Phone (815) 943-1122
704 Katie Ct
Cambridge, WI 53523
Phone (608) 423-1100
217 N Main St
Edgerton, WI 53534
Phone (608) 884-9431
611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667
500 McMillen St
Fort Atkinson, WI 53538
Phone (920) 563-5571
1520 Madison Ave
Fort Atkinson, WI 53538
Phone (920) 563-5500
1366 E Sumner St
Hartford, WI 53027
Phone (337) 408-0805
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
840 W Racine St
Jefferson, WI 53549
Phone (920) 674-6000
200 E Tyranena Park Rd
Lake Mills, WI 53551
Phone (920) 648-3113
1461 W Main St
Whitewater, WI 53190
Phone (262) 472-6839
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
- veronica.rejon@direct.forthc.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- General Acute Care Hospital
- Janesville, WI
- NPI 1093768962
-
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1497069231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 N MAIN ST",
"city": "EDGERTON",
"state": "WI",
"postal_code": "535341613",
"telephone_number": "608-884-9431",
"fax_number": "608-884-7738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E TYRANENA PARK RD",
"city": "LAKE MILLS",
"state": "WI",
"postal_code": "535519678",
"telephone_number": "920-648-8393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REJON",
"first_name": "VERONICA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-04",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "55886-20",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1497069231",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mills, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.