Individual provider Active NPI

Maria A Denu, PA

  • Physician Assistant
  • Spring Green, WI
National Provider Identifier
1659346559
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
572 Issued in WI
Practice address
436 Sunrise Dr
Spring Green, WI 53588-9286
Phone
(608) 588-2502
NPI assigned
Feb 22, 2006
Last updated
Mar 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 572 WI Primary

Addresses

Primary practice location

436 Sunrise Dr
Spring Green, WI 53588-9286

Mailing address

436 Sunrise Dr
Spring Green, WI 53588-9286
Phone (608) 588-2502

Other identifiers 1

IdentifierTypeStateIssuer
42926700MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address saukprairie@directclinics.saukprairiehealthcare.org

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080326000975 WI Practitioner - Physician Assistant 8022194307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sauk Prairie Healthcare IncGroup PAC ID 8224948054, 122 clinicians

Practice addresses (Care Compare)

250 26TH St
Prairie Du Sac, WI 53578-1316

250 26TH St
Prairie Du Sac, WI 53578-2204
Phone (608) 644-3000

260 26TH St
Prairie Du Sac, WI 53578-1316

260 26TH St
Prairie Du Sac, WI 53578-2203
Phone (608) 643-7574

436 Sunrise Dr
Spring Green, WI 53588-9286
Phone (608) 588-2502

825 Main St
Plain, WI 53577-9668
Phone (608) 546-4211

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
572WIMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sauk Prairie Healthcare Inc CurrentSince Jul 1, 1997 Accepting new patients
Sauk Prairie Healthcare, Inc. CurrentSince Jul 1, 1997 Accepting new patients
Sauk Prairie Healthcare Inc Current Accepting new patients
Sauk Prairie Healthcare Inc Past Accepting new patients
Sauk Prairie Healthcare Inc Past Accepting new patients

Locations

160 Valley Dr
Lodi, WI 53555
Phone (608) 592-3296

506 Crocker St
Ste 3
Mazomanie, WI 53560
Phone (608) 795-4110

825 Main St
Plain, WI 53577
Phone (608) 546-4211

260 26th St
Prairie du Sac, WI 53578
Phone (608) 643-2471

436 Sunrise Dr
Spring Green, WI 53588
Phone (608) 588-2502

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: maria.denu@direct.saukprairiehealthcare.org

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1659346559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 SUNRISE DR",
            "city": "SPRING GREEN",
            "state": "WI",
            "postal_code": "535889286",
            "telephone_number": "608-588-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 SUNRISE DR",
            "city": "SPRING GREEN",
            "state": "WI",
            "postal_code": "535889286",
            "telephone_number": "608-588-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENU",
        "first_name": "MARIA",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42926700",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "saukprairie@directclinics.saukprairiehealthcare.org",
            "affiliation": "N",
            "address_1": "436 Sunrise Dr",
            "city": "Spring Green",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535889286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spring Green, WI

Sources for this page

Verify at the official NPI Registry.