Kevin M Fitzgerald, MD
Individual provider Active NPI Family Medicine Physician · Onalaska, WI
NPI 1730179243 · NPPES record last updated Sep 16, 2020
Key facts
- NPI
- 1730179243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 37997 (WI)
- Practice address
- 191 Theatre Rd
Onalaska, WI 54650-8679 - Phone
- (608) 392-5001
- Fax
- (608) 392-5790
- NPI assigned
- Oct 26, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 6
Owned or controlled facilities with NPI records 17
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Creighton University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mayo Clinic Health System-Southwest Wisconsin Region Inc
Practice addresses (Care Compare)
191 Theater Rd
Onalaska, WI 54650-8679
Phone (608) 392-5000
800 E Blackhawk Ave
Prairie Du Chien, WI 53821-1698
Phone (608) 326-0808
Hospital & facility affiliations
- Aveanna Home Health
- St Croix Hospice la Crosse
- Agrace Hospicecare
- Mayo Clinic Health System-Franciscan Medical Center Inc
- Mayo Clinic HLTH Systm Franciscan Hlthcare Sparta
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 17
| Facility | Type | Role | Since |
|---|---|---|---|
| Mayo Clinic Health System in Eau Claire |
Hospital | Corporate Director | Jan 1, 2025 |
| Mayo Clinic Health System-Southwest Wisconsin Region Inc |
Hospital | Corporate Director | Jan 1, 2025 |
| Mayo Clinic Health System - Sparta |
Hospital | Corporate Director | Jan 1, 2025 |
| Mayo Clinic Health System-Red Cedar |
Hospital | Corporate Director | Jan 1, 2025 |
| Mayo Clinic Health System-Northland |
Hospital | Corporate Director | Jan 1, 2025 |
| Mayo Clinic Health System-Oakridge |
Hospital | Corporate Director | Jan 1, 2025 |
| Mayo Clinic Health System-Chippewa Valley |
Hospital | Corporate Director | Jan 1, 2025 |
| Mayo Clinic Health System-Red Cedar |
Hospital | Corporate Director | Jan 1, 2025 |
| Mayo Clinic Health System-Northland |
Hospital | Corporate Director | Jan 1, 2025 |
| Mayo Clinic Health System-Oakridge |
Hospital | Corporate Director | Jan 1, 2025 |
| Mayo Clinic Health System-Chippewa Valley |
Hospital | Corporate Director | Jan 1, 2025 |
| Mayo Clinic Health System- Sparta |
Hospital | Corporate Director | Jan 1, 2025 |
| Mayo Clinic Health System in Eau Claire |
Home health agency | Corporate Director | Jan 1, 2025 |
| Mayo Clinic Health System - Sparta |
Rural health clinic | Corporate Director | Jan 1, 2025 |
| Mayo Clinic Health System-Southwest Wisconsin Region Inc |
Rural health clinic | Corporate Director | Jan 1, 2025 |
| Mayo Clinic Health System - Prairie Du Chien |
Rural health clinic | Corporate Director | Jan 1, 2025 |
| Mayo Clinic Health System - Oakridge in Mondovi |
Rural health clinic | Corporate Director | Jan 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040709001378 | WI | Practitioner - Family Practice | 5698753291 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Southwest Wisconsin Region, Inc. | Current |
Accepting new patients | |
| Mayo Clinic Health System-Southwest Wisconsin Region, Inc. | Current |
Accepting new patients |
Locations
800 West Ave S
La Crosse, WI 54601
Phone (608) 372-5951
191 Theater Rd
Onalaska, WI 54650
Phone (608) 392-5000
705 E Taylor St
Prairie du Chien, WI 53821
Phone (608) 357-2000
800 E Blackhawk Ave
Prairie du Chien, WI 53821
Phone (608) 326-0808
310 W Main St
Sparta, WI 54656
Phone (608) 269-1700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 37997 | WI | Yes |
Addresses
Primary practice location
191 Theatre Rd
Onalaska, WI 54650-8679
Mailing address
PO Box 1510
Eau Claire, WI 54702-1510
Phone (608) 785-0940
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kfitzgerald25975@ehrdirect.mayoclinicmsg.org |
Other providers in Onalaska, WI
- Anelin Feilen
- Feils Knapp Chiropractic Center
- Feist Siegert LLC
- Gary Fischer
- Danielle Olivia Fitterer
- Melinda Anne Fitzpatrick
- Timothy Francis Flood
- Marilyn Elizabeth Franzini
- Hannah Fravel
- Natalie Frederixon
All providers in Onalaska, WI · Family Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.