Individual provider Active NPI

Vallie M Kaprelian, MD

  • Family Medicine Physician
  • Chippewa Falls, WI
National Provider Identifier
1629043302
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
40855 Issued in WI
Practice address
14633 48TH Ave
Chippewa Falls, WI 54729-7153
Phone
(920) 450-7611
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 40855 WI Primary
Emergency Medicine Physician 207P00000X 23126 OK

Addresses

Primary practice location

14633 48TH Ave
Chippewa Falls, WI 54729-7153

Mailing address

14633 48TH Ave
Chippewa Falls, WI 54729-7153
Phone (920) 450-7611

Other practice location 1

900 College Ave W
Ladysmith, WI 54848-2116
Phone (715) 532-5561

Other identifiers 3

IdentifierTypeStateIssuer
40855OtherWIWI LICENSE
32612600MedicaidWI
200022160AMedicaidOK

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address vallie.kaprelian@direct.genesishealth.com Direct
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IA2 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

Enrollment IDStateProvider typePAC IDDetails
I20061003000714 WI Practitioner - Emergency MedicinePractitioner - Family Practice 7416846811 Reassigns benefits to 8 organizations
I20140319001888 IA Practitioner - Emergency MedicinePractitioner - Family Practice 7416846811 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Health SystemGroup PAC ID 7214841436, 217 clinicians

Practice addresses (Care Compare)

1118 11TH St
De Witt, IA 52742-1353
Phone (563) 242-7522

Hospital & facility affiliations

  • Marshfield Medical Center - Ladysmith Hospital, Ladysmith, WI, CCN 521328
  • Holy Family Memorial Hospital, Manitowoc, WI, CCN 520107
  • Jackson County Regional Health Center Hospital, Maquoketa, IA, CCN 161329
  • Mercyone Genesis Dewitt Medical Center Hospital, Dewitt, IA, CCN 161313

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23126OKMDEmergency Medicine Physician
40855WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mile Bluff Medical Center Inc Emergency Medicine CurrentSince Mar 1, 2017 Accepting new patients
Edgerton Hospital and Health Services CurrentSince Nov 1, 2024 Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Jul 10, 2023 Accepting new patients
Memorial Hospital Inc CurrentSince Jul 7, 2016 Accepting new patients
Marshfield Clinic Inc CurrentSince Sep 1, 2018 Accepting new patients
Jackson County Public Hospital Current Accepting new patients
MCHS Hospitals Inc CurrentSince Sep 1, 2018 Accepting new patients
Jackson County Public Hospital Current Accepting new patients
Edgerton Hospital and Health Services, Inc CurrentSince Nov 1, 2024 Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Jul 10, 2023 Accepting new patients
Edgerton Hospital and Health Services Inc. Current Accepting new patients
Mile Bluff Medical Center Inc CurrentSince Mar 1, 2017 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
MCHS Hospitals Inc Emergency Medicine CurrentSince Sep 1, 2018 Accepting new patients
Tri-County Memorial Hospital, Inc. Current Accepting new patients
Memorial Hospital Inc CurrentSince Jul 7, 2016 Accepting new patients
Froedtert Manitowoc Medical Group, LLC CurrentSince Nov 1, 2024 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Ascension Calumet Hospital, Inc Past Accepting new patients
Emergency Medicine Services of Mo, LLC Emergency Medicine Past Accepting new patients
Washita Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

700 W Grove St
Maquoketa, IA 52060
Phone (563) 652-2474

601 Hospital Dr
Maquoketa, IA 52060
Phone (563) 652-2474

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

11101 N Sherman Rd
Edgerton, WI 53534
Phone (608) 884-1695

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

900 College Ave W
Ladysmith, WI 54848
Phone (715) 532-5561

906 College Ave W
Ladysmith, WI 54848
Phone (715) 532-2300

2300 Western Ave
Manitowoc, WI 54220
Phone (920) 320-2011

1650 S 41st St
Manitowoc, WI 54220
Phone (920) 320-3100

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1050 Division St
Mauston, WI 53948
Phone (608) 847-6161

831 Arthur Dr
Milton, WI 53563
Phone (608) 868-3526

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1414 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 320-2011

1120 Pine St
Stanley, WI 54768
Phone (715) 644-5530

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

Interoperability endpoints

  • Direct secure messaging: vallie.kaprelian@direct.genesishealth.com
  • Direct secure messaging: vkaprelian850786@direct.froedtert.com
  • Direct secure messaging: vkaprelian249061@uihcdirect.org
  • Direct secure messaging: vkaprelian804939@direct.gundersenhealth.org
  • Direct secure messaging: vallie.kaprelian@marshfieldclinichealthsystem.cernerdirect.com
  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 24

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 24

Hospital & facility affiliations 4

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1629043302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14633 48TH AVE",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547297153",
            "telephone_number": "920-450-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14633 48TH AVE",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547297153",
            "telephone_number": "920-450-7611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 College Ave W",
            "address_purpose": "LOCATION",
            "city": "Ladysmith",
            "state": "WI",
            "postal_code": "548482116",
            "country_code": "US",
            "telephone_number": "715-532-5561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPRELIAN",
        "first_name": "VALLIE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2022-11-17",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "40855",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "23126",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI LICENSE",
            "identifier": "40855",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32612600",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200022160A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vallie.kaprelian@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "genesis health system direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "4721 North Purdy Parkway",
            "city": "Appleton",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549137512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "address_1": "900 College Ave W",
            "city": "Ladysmith",
            "state": "WI",
            "country_code": "US",
            "postal_code": "548482116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chippewa Falls, WI

Sources for this page

Verify at the official NPI Registry.