Individual provider Active NPI

Veronica Rejon, MD

  • Family Medicine Physician
  • Lake Mills, WI
National Provider Identifier
1497069231
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
55886-20 Issued in WI
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

Updated by the provider on Feb 7, 2024

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 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

IdentifierTypeStateIssuer
1497069231MedicaidWI

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
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 IncGroup PAC ID 6204208754, 48 clinicians

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

LicenseStateTypeSpecialty
55886-20WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health System Corporation CurrentSince Dec 9, 2011 Accepting new patients
Curana Health of Wisconsin Inc CurrentSince Oct 7, 2025 Accepting new patients
CH Specialty Services Wi SC CurrentSince Oct 7, 2025 Accepting new patients
Fort Healthcare Inc Family Medicine Current Accepting new patients
Fort Healthcare Inc Family Medicine CurrentSince Mar 4, 2024 Accepting new patients
Mercy Health System Corporation Current Accepting new patients
Mercy Health System Corporation CurrentSince Dec 9, 2011 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

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
  • Direct secure messaging: veronica.rejon@direct.forthc.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.