Jason S So, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

63015-21 Issued in WI

Practice address

350 Peller Rd
Lake Geneva, WI 53147-4543

Phone

(262) 245-0221

Fax

(262) 249-0633

NPI assigned

May 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IL, WI2 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 2

Specialty

Family Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mercy Health System CorporationGroup PAC ID 7416860440, 749 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercyhealth at Home Home health agency, Janesville, WI, CCN 527018
• 2 Sisters Home Healthcare Inc Home health agency, Rockford, IL, CCN 148371
• Mercy Health System Corp Hospital, Janesville, WI, CCN 520066

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jso28558@direct.mhemail.org

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.

• Mercy Health System Corporation

  • Multi-Specialty Clinic/Center
  • Janesville, WI
  • NPI 1598718603

  WI

  Medicare reassignment Care Compare group NPD
• Integra Medical Doctors Inc

  • Specialist
  • Hoffman Estates, IL
  • NPI 1700189677

  IL

  Medicare reassignment NPD
• Mercy Health System Corporation

  • General Acute Care Hospital
  • Janesville, WI
  • NPI 1093768962
  Care Compare group NPD
• Mercy Health System Corporation

  • Critical Access Hospital
  • Lake Geneva, WI
  • NPI 1699728550
  Care Compare group NPD
• Mercy Health System Corporation

  • Prosthetic/Orthotic Supplier
  • Lake Geneva, WI
  • NPI 1710124698
  Care Compare group NPD (past)
• Mercy Health System Corporation

  • Pharmacy
  • Milton, WI
  • NPI 1013953504
  Care Compare group
• Mercy Health System Corporation

  • Chronic Disease Hospital
  • Janesville, WI
  • NPI 1164588679
  Care Compare group
• Mercy Health System Corporation

  • Skilled Nursing Facility
  • Janesville, WI
  • NPI 1427105006
  Care Compare group
• Mercy Health System Corporation

  • Pharmacy
  • Janesville, WI
  • NPI 1467498857
  Care Compare group
• Mercy Health System Corporation

  • Pharmacy
  • Janesville, WI
  • NPI 1558307942
  Care Compare group
• Mercy Health System Corporation

  • Durable Medical Equipment & Medical Supplies
  • Janesville, WI
  • NPI 1588795116
  Care Compare group
• Mercy Health System Corporation

  • Pharmacy
  • Lake Geneva, WI
  • NPI 1851327639
  Care Compare group

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

• Mercy Assisted Care, Inc

  • Home Health Agency
  • Janesville, WI
  • NPI 1588719439
  Care Compare affiliation
• Mercy Health System Corporation

  • General Acute Care Hospital
  • Janesville, WI
  • NPI 1093768962

  Hospital

  Care Compare affiliation
• 2 Sisters Home Healthcare Inc.

  • Home Health Agency
  • Rockford, IL
  • NPI 1508279324
  Care Compare affiliation

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1508078643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PELLER RD",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531474543",
            "telephone_number": "262-245-0221",
            "fax_number": "262-249-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PELLER RD",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531474543",
            "telephone_number": "262-245-0221",
            "fax_number": "262-249-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SO",
        "first_name": "JASON",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036119919",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "63015-21",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSWI",
            "identifier": "1508078643",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCYCARE INSURANCE",
            "identifier": "SOJAS",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508078643",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kurtis James Siemsen, DC
• Brian Jay Silverstein, MD
• Craig Robert Slapinski, D.C.
• Kylie Lynn Smith
• Megan K Smith, PHARM D
• Lauren Sotiroff, PT, DPT
• Jessica Spigelmeyer, OTR/L
• Spine and Neuro Health and Wellness Center LLC
• Debora J Sportiello, MD
• Aaron Staley, MD

• All providers in Lake Geneva, WI
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.

Verify at the official NPI Registry.