NPIMap

Individual provider Active NPI

Monica J Pesavento, M.D.

  • Family Medicine Physician
  • River Falls, WI
National Provider Identifier
1700064110
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
51672 Issued in WI
Practice address
319 S Main St
River Falls, WI 54022-2452
Phone
(715) 425-6701
NPI assigned
Feb 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 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 ME98845 FL
Family Medicine Physician 207Q00000X 51672 WI Primary

Addresses

Primary practice location

319 S Main St
River Falls, WI 54022-2452

Mailing address

319 S Main St
River Falls, WI 54022-2452

Other identifiers 1

IdentifierTypeStateIssuer
35314200MedicaidWI

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
I20080826000716 WI Practitioner - Family Practice 1254410731 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Wisconsin, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairview ClinicsGroup PAC ID 7113830142, 799 clinicians

Practice addresses (Care Compare)

319 S Main St
River Falls, WI 54022-2452
Phone (715) 425-6701

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51672WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Area Medical Center, Inc. CurrentSince Jan 10, 2013 Accepting new patients
Baldwin Area Medical Center Inc. CurrentSince Jan 10, 2013 Accepting new patients
Western Wisconsin Medical Associates CurrentSince Aug 1, 2017 Accepting new patients
Fairview Clinics CurrentSince Oct 10, 2020 Accepting new patients

Locations

1100 Bergslien St
Baldwin, WI 54002
Phone (715) 684-1111

144 S Plum St
Ellsworth, WI 54011
Phone (715) 273-5041

1687 E Division St
River Falls, WI 54022
Phone (715) 425-6701

319 S Main St
River Falls, WI 54022
Phone (715) 425-6701

503 Cherry Ln
Roberts, WI 54023
Phone (715) 684-1111

Interoperability endpoints

  • Direct secure messaging: mpesavento93604@excellian.direct.allina.com
  • Direct secure messaging: monica.pesavento@vibranthealth.cernerdirect.com
  • Direct secure messaging: mpesavento491055@fairview.direct-ci.com

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 11

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": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1700064110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 S MAIN ST",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540222452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S MAIN ST",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540222452",
            "telephone_number": "715-425-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESAVENTO",
        "first_name": "MONICA",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-07",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME98845",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "51672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35314200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in River Falls, WI

Sources for this page

Verify at the official NPI Registry.