Individual provider Active NPI

Marcus Pearson, DO

  • Emergency Medicine Physician
  • La Crosse, WI
National Provider Identifier
1497124507
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
81674-21 Issued in WI
Practice address
1836 South Ave
La Crosse, WI 54601-5429
Phone
(608) 782-7300
NPI assigned
Sep 18, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X 955973 MN
Paramedic 146L00000X MED-PARA-LIC-35789 MT
Paramedic 146L00000X 202555 OR
Paramedic 146L00000X 124368 ND
Emergency Medicine Physician 207P00000X OT021635 PA
Emergency Medicine Physician 207P00000X 77905 MN
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 81674-21 WI Primary

Addresses

Primary practice location

1836 South Ave
La Crosse, WI 54601-5429

Mailing address

1836 South Ave
La Crosse, WI 54601-5429
Phone (086) 782-7300

Other practice location 1

200 Mullins Dr
Lebanon, OR 97355-3983
Phone (701) 331-8709

Other practice location 2

232 W 25th St
Erie, PA 16544-3983
Phone (814) 452-5354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WI, MN, 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

Enrollment IDStateProvider typePAC IDDetails
I20240719001525 NY Practitioner - Emergency Medicine 6709322357 Reassigns benefits to 1 organization
I20250719000070 WI Practitioner - Emergency Medicine 6709322357 Reassigns benefits to 10 organizations
I20250719000109 MN Practitioner - Emergency Medicine 6709322357 Reassigns benefits to 2 organizations
I20251217003321 IA Practitioner - Emergency Medicine 6709322357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gundersen Lutheran Medical Center Inc 888 clinicians
Saint Elizabeths Hospital of Wabasha Inc 93 clinicians
Gundersen Clinic LTD 422 clinicians

Practice addresses (Care Compare)

1122 W Hwy 61
Winona, MN 55987-1957
Phone (507) 615-0600

1200 Grant Blvd W
Wabasha, MN 55981-1042
Phone (651) 565-4531

1836 S Ave
La Crosse, WI 54601-5429
Phone (608) 783-7300

505 Gopher Dr
Tomah, WI 54660-4513
Phone (608) 372-4111

Hospital & facility affiliations

  • Gundersen Lutheran Medical Center Hospital, La Crosse, WI, CCN 520087
  • Tomah Memorial Hospital Hospital, Tomah, WI, CCN 521320
  • Black River Memorial Hospital Hospital, Black River Falls, WI, CCN 521333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
955973MNMDParamedic
MED-PARA-LIC-35789MTMDParamedic
124368NDMDParamedic
202555ORMDParamedic
OT021635PAMDEmergency Medicine Physician
81674-21WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tomah Memorial Hospital Inc Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Jul 21, 2025 Accepting new patients
Black River Health Inc CurrentSince Apr 1, 2026 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Aug 12, 2025 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Jul 21, 2025 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Dec 2, 2025 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Jul 21, 2025 Accepting new patients
Black River Health Inc CurrentSince Apr 1, 2026 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Dec 2, 2025 Accepting new patients
Gundersen Clinic LTD Current Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Oct 1, 2025 Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Dec 2, 2025 Accepting new patients
Memorial Hospital of Boscobel CurrentSince Dec 2, 2025 Accepting new patients
Black River Health Inc CurrentSince Apr 1, 2026 Accepting new patients
Gundersen Lutheran Express Care, Inc CurrentSince Jul 21, 2025 Accepting new patients
Ahn Emergency Group of Erie County LTD. Emergency Medicine CurrentSince Jun 25, 2024 Accepting new patients
Gundersen Clinic, LTD. CurrentSince Jul 21, 2025 Accepting new patients
St. Joseph'S Health Services, Inc. CurrentSince Dec 2, 2025 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Aug 12, 2025 Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Dec 2, 2025 Accepting new patients
Memorial Hospital of Boscobel CurrentSince Dec 2, 2025 Accepting new patients
Palmer Lutheran Health Center, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
St. Joseph'S Health Services, Inc. CurrentSince Dec 2, 2025 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc Current Accepting new patients
Memorial Hospital of Boscobel Past Accepting new patients

Locations

112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811

1200 Grant Blvd W
Wabasha, MN 55981
Phone (651) 565-4531

1122 W Highway 61
Winona, MN 55987
Phone (507) 615-0600

189 E Main St
Westfield, NY 14787
Phone (716) 326-4921

232 W 25th St
Erie, PA 16544
Phone (814) 452-5337

711 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-1302

205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

501 Gopher Dr
Tomah, WI 54660
Phone (608) 371-2181

505 Gopher Dr
Tomah, WI 54660
Phone (608) 372-2181

18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-1712

Interoperability endpoints

  • Direct secure messaging: mpearson1078218@direct.emplifyhealth.org

Organizations & group practices 46

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.

View all 46

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1497124507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "086-782-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Mullins Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OR",
            "postal_code": "973553983",
            "country_code": "US",
            "telephone_number": "701-331-8709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "232 W 25th St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165443983",
            "country_code": "US",
            "telephone_number": "814-452-5354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "MARCUS",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-18",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "MN",
            "license": "955973",
            "primary": false
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "MT",
            "license": "MED-PARA-LIC-35789",
            "primary": false
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "OR",
            "license": "202555",
            "primary": false
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "ND",
            "license": "124368",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OT021635",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "77905",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "81674-21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

Verify at the official NPI Registry.