Individual provider Active NPI

Joshua D Tessner

  • Emergency Medicine Physician
  • Boscobel, WI
National Provider Identifier
1639531106
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
68171-20 Issued in WI
Practice address
205 Parker St
Boscobel, WI 53805-1642
Phone
(608) 375-4112
NPI assigned
Mar 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 68171-20 WI Primary

Addresses

Primary practice location

205 Parker St
Boscobel, WI 53805-1642

Mailing address

478 Walker St
Fond Du Lac, WI 54935-5512

Other practice location 1

478 Walker St
Fond Du Lac, WI 54935-5512
Phone (920) 960-4535

Other practice location 2

515 22nd Ave
Monroe, WI 53566-1569
Phone (608) 324-2000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jtessner16811@direct.monroeclinic.org Direct
FHIR URL https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/ Other

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
I20190725001152 WI Practitioner - Emergency Medicine 9436412657 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Monroe Clinic, Inc.Group PAC ID 3072425495, 199 clinicians
Swea Fort SCGroup PAC ID 0345774972, 51 clinicians

Practice addresses (Care Compare)

515 22ND Ave
Monroe, WI 53566-1569
Phone (608) 324-2000

611 Sherman Ave E
Fort Atkinson, WI 53538-1960
Phone (920) 568-5475

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vernon Memorial Healthcare, Inc. CurrentSince Jan 20, 2024 Accepting new patients
Lafayette County Current Accepting new patients
The Monroe Clinic, Inc. CurrentSince Aug 1, 2019 Accepting new patients
Swea Fort SC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Memorial Hospital of Boscobel CurrentSince Apr 1, 2020 Accepting new patients
Memorial Hospital of Boscobel CurrentSince Apr 1, 2020 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
The Monroe Clinic, Inc. CurrentSince Aug 1, 2019 Accepting new patients

Locations

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

211 Bev Anderson Dr
Darlington, WI 53530
Phone (608) 776-4466

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

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

507 S Main St
Viroqua, WI 54665
Phone (608) 637-2101

Interoperability endpoints

  • Direct secure messaging: jtessner304784@direct.unitypoint.org
  • Direct secure messaging: jtessner853915@direct.emplifyhealth.org
  • Direct secure messaging: jtessner467681@direct.emplifyhealth.org
  • Direct secure messaging: jtessner407958@direct-ehr-ssmhc.com

Organizations & group practices 8

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.

Hospital & facility affiliations 7

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": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1639531106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 WALKER ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549355512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 PARKER ST",
            "city": "BOSCOBEL",
            "state": "WI",
            "postal_code": "538051642",
            "telephone_number": "608-375-4112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "478 Walker St",
            "address_purpose": "LOCATION",
            "city": "Fond Du Lac",
            "state": "WI",
            "postal_code": "549355512",
            "country_code": "US",
            "telephone_number": "920-960-4535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 22nd Ave",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "WI",
            "postal_code": "535661569",
            "country_code": "US",
            "telephone_number": "608-324-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TESSNER",
        "first_name": "JOSHUA",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-24",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "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": "68171-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtessner16811@direct.monroeclinic.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jtessner16811@direct.monroeclinic.org",
            "address_1": "515 22nd Ave",
            "city": "Monroe",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535661569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "515 22nd Ave",
            "city": "Monroe",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535661569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boscobel, WI

Sources for this page

Verify at the official NPI Registry.