Individual provider Active NPI

Joseph Michael Mayland, D.O.

  • Emergency Medicine Physician
  • Bloomington, MN
National Provider Identifier
1679505093
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
45578 Issued in MN
Practice address
4300 Marketpointe Dr Ste 100
Bloomington, MN 55435-5435
Phone
(952) 835-9880
NPI assigned
Jul 7, 2006
Last updated
Oct 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 45578 MN Primary

Addresses

Primary practice location

4300 Marketpointe Dr Ste 100
Bloomington, MN 55435-5435

Mailing address

301 Becker Ave SW
Willmar, MN 56201-3302
Phone (320) 235-4543

Other practice location 1

301 Becker Ave SW
Willmar, MN 56201-3302
Phone (320) 235-4543

Other names 1

  • Joseph Michael Jellison Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmayland134659@direct.centracare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20050726000399 MN Practitioner - Emergency MedicinePractitioner - Family Practice 6709813306 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winona Health ServicesGroup PAC ID 8527977420, 160 clinicians

Practice addresses (Care Compare)

855 Mankato Ave
Winona, MN 55987-4868
Phone (507) 454-3650

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45578MNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carris Health LLC Emergency Medicine CurrentSince Jan 20, 2018 Accepting new patients
Swift County Benson Hospital CurrentSince May 8, 2015 Accepting new patients
Swift County-Benson Hospital CurrentSince May 8, 2015 Accepting new patients
Centracare Health System-NR LLC CurrentSince Feb 1, 2021 Accepting new patients
Winona Health Services CurrentSince Sep 3, 2025 Accepting new patients
Carris Health LLC CurrentSince Jan 20, 2018 Accepting new patients
Centracare Health System-NR LLC CurrentSince Feb 1, 2021 Accepting new patients
Lifecare Medical Center Current Accepting new patients
Madelia Health CurrentSince Sep 1, 2025 Accepting new patients
CCM Health Current Accepting new patients
Emergency Physicians Professional Association CurrentSince Sep 26, 2023 Accepting new patients
Emergency Physicians Professional Association Emergency Medicine CurrentSince Sep 26, 2023 Accepting new patients
Madelia Health Current Accepting new patients
Minnesota Pathologists Chartered Current Accepting new patients
Tenet Healthsystem Di, Inc. Past Accepting new patients
St. Francis Medical Center Past Accepting new patients
Winona Health Services Past Accepting new patients

Locations

1815 Wisconsin Ave
Benson, MN 56215
Phone (320) 843-3454

612 S Sibley Ave
Litchfield, MN 55355
Phone (320) 693-3242

121 Drew Ave SE
Madelia, MN 56062
Phone (507) 642-3255

4300 Marketpointe Dr
Ste 100
Minneapolis, MN 55435
Phone (952) 767-4574

824 N 11th St
Montevideo, MN 56265
Phone (320) 269-8877

1013 Hart Blvd
Monticello, MN 55362
Phone (763) 271-2303

100 Healthy Way
Olivia, MN 56277
Phone (320) 523-1261

1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657

301 Becker Ave SW
Willmar, MN 56201
Phone (320) 231-4120

855 Mankato Ave
Winona, MN 55987
Phone (507) 454-3680

Interoperability endpoints

  • Direct secure messaging: jmayland134659@direct.centracare.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 3

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1679505093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BECKER AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013302",
            "telephone_number": "320-235-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 MARKETPOINTE DR STE 100",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355435",
            "telephone_number": "952-835-9880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Becker Ave SW",
            "address_purpose": "LOCATION",
            "city": "Willmar",
            "state": "MN",
            "postal_code": "562013302",
            "country_code": "US",
            "telephone_number": "320-235-4543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYLAND",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "45578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmayland134659@direct.centracare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jmayland134659@direct.centracare.com",
            "address_1": "301 Becker Ave SW",
            "city": "Willmar",
            "state": "MN",
            "country_code": "US",
            "postal_code": "562013302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JOSEPH",
            "last_name": "JELLISON",
            "middle_name": "MICHAEL",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomington, MN

Sources for this page

Verify at the official NPI Registry.