Individual provider Active NPI

Joseph M Wallner, PA-C

  • Physician Assistant
  • Madison, WI
National Provider Identifier
1548296494
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
767-23 Issued in WI
Practice address
2315 Oakridge Ave
Madison, WI 53704-5768
Phone
(608) 438-3758
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 767-23 WI Primary
Medical Physician Assistant 363AM0700X 767-023 WI

Addresses

Primary practice location

2315 Oakridge Ave
Madison, WI 53704-5768

Mailing address

2315 Oakridge Ave
Madison, WI 53704-5768
Phone (608) 438-3758

Other identifiers 2

IdentifierTypeStateIssuer
3974OtherWIDEAN HEALTH INSURANCE
42947500MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
87.78
Promoting interoperability
77
Improvement activities
40
Cost
75.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
767-23WIMDPhysician Assistant
767-023WIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dean Health Systems, Inc Current Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Apr 3, 2017 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Apr 3, 2017 Accepting new patients
Dean Health Systems, Inc, Past Accepting new patients

Locations

1700 Tuttle St
Baraboo, WI 53913
Phone (608) 355-3800

1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011

825 Western Ave
Columbus, WI 53925
Phone (920) 623-2520

7102 Mineral Point Rd
Madison, WI 53717
Phone (608) 828-7603

1821 S Stoughton Rd
Madison, WI 53716
Phone (608) 260-6000

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

900 Ridge St
Stoughton, WI 53589
Phone (608) 231-3410

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1548296494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 OAKRIDGE AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045768",
            "telephone_number": "608-438-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 OAKRIDGE AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045768",
            "telephone_number": "608-438-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLNER",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "767-23",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "767-023",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH INSURANCE",
            "identifier": "3974",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42947500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.