Luke W Fortney, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

47249 Issued in WI

Practice address

436 Sunrise Dr
Spring Green, WI 53588-9286

Phone

(608) 588-2502

NPI assigned

Mar 14, 2006

Last updated

Mar 24, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Family Practice

Education

University of Wisconsin School of Medicine, 2003

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)

Hospital & facility affiliations

• SSM Health at Home Home Health-Wisconsin Home health agency, Madison, WI, CCN 527184
• Sauk Prairie Hospital Hospital, Prairie Du Sac, WI, CCN 520095
• Greenway Manor Nursing home, Spring Green, WI, CCN 525396

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Sauk Prairie Healthcare Inc

  • General Acute Care Hospital
  • Prairie Du Sac, WI
  • NPI 1861466153
  Medicare reassignment Care Compare group NPD
• Sauk Prairie Healthcare Inc

  • Family Medicine Physician
  • Spring Green, WI
  • NPI 1609841568
  NPD
• Sauk Prairie Healthcare, Inc.

  dba Prairie Clinic

  • Family Medicine Physician
  • Sauk City, WI
  • NPI 1235163494
  NPD

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

• Home Health United Inc

  • Home Health Agency
  • Madison, WI
  • NPI 1275686404
  Care Compare affiliation
• River Valley Nursing Home, Inc

  dba Greenway Manor & Greenway Terrace

  • Skilled Nursing Facility
  • Spring Green, WI
  • NPI 1972504835

  Nursing home

  Care Compare affiliation
• Sauk Prairie Healthcare Inc

  • General Acute Care Hospital
  • Prairie Du Sac, WI
  • NPI 1861466153
  Care Compare affiliation

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1720057698",
    "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": "FORTNEY",
        "first_name": "LUKE",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "47249",
            "primary": true
        }
    ],
    "identifiers": [],
    "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": []
}

• Sarah E Coy, R.D.H.
• Kelsi Marie Craker, RN
• Maria A Denu, PA
• Driftless Diabetes Management, LLC
• Edward Wolpert MD SC LTD
• Masaru Furukawa, MD
• Felyce Gilford
• Lauren Gullickson, RN
• Alisha M Hahn, R.PH.
• McKenzie Hansen

• Family Medicine Physician in Spring Green, WI
• Providers in Spring Green, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.