NPIMap

Individual provider Active NPI

Julianne Falleroni, D.O.

  • Family Medicine Physician
  • Appleton, WI
National Provider Identifier
1669452280
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
53635 Issued in WI
Practice address
W3124 Van Roy Road
Appleton, WI 54915
Phone
(920) 730-2747
Fax
(920) 730-2747
NPI assigned
Jan 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 53635 WI Primary

Addresses

Primary practice location

W3124 Van Roy Road
Appleton, WI 54915

Mailing address

W3124 Van Roy Road
Appleton, WI 54915
Phone (920) 730-2747

Other identifiers 1

IdentifierTypeStateIssuer
000045145MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091021000373 WI Practitioner - Family Practice 9234276486 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care of the Fox Cities SCGroup PAC ID 4486664174, 5 clinicians

Practice addresses (Care Compare)

W3124 Van Roy Rd
Appleton, WI 54915-3929
Phone (920) 730-2747

Hospital & facility affiliations

  • Thedacare Regional Med Ctr - Neenah Hospital, Neenah, WI, CCN 520045
  • Thedacare Regional Medical Center - Appleton Inc Hospital, Appleton, WI, CCN 520160
  • Ascension NE Wisconsin - St Elizabeth Campus Hospital, Appleton, WI, CCN 520009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53635WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care of the Fox Cities SC Family Medicine CurrentSince Jun 30, 2015 Accepting new patients
Thedacare, Incorporated Family Medicine CurrentSince Apr 1, 2020 Accepting new patients

Locations

W3124 Van Roy Rd
Appleton, WI 54915
Phone (920) 730-2747

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000

Organizations & group practices 3

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1669452280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W3124 VAN ROY ROAD",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54915",
            "telephone_number": "920-730-2747",
            "fax_number": "920-730-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W3124 VAN ROY ROAD",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54915",
            "telephone_number": "920-730-2747",
            "fax_number": "920-730-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLERONI",
        "first_name": "JULIANNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "53635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000045145",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.