Individual provider Active NPI

Blaine G Stott, DO

  • Family Medicine Physician
  • La Crosse, WI
National Provider Identifier
1780180612
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
72298 Issued in WI
Practice address
1836 South Ave
La Crosse, WI 54601-5429
Phone
(608) 782-7300
NPI assigned
Mar 31, 2018
Last updated
Aug 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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 72298 WI Primary

Addresses

Primary practice location

1836 South Ave
La Crosse, WI 54601-5429

Mailing address

1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210914000190 WI Practitioner - Family Practice 1355777293 Reassigns benefits to 11 organizations
I20251230001803 MN Practitioner - Emergency Medicine 1355777293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

402 W Lake St
Friendship, WI 53934-9699
Phone (608) 339-3331

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gundersen Lutheran Express Care, Inc CurrentSince Sep 1, 2022 Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Sep 1, 2022 Accepting new patients
St. Joseph's Health Services, Inc. CurrentSince Sep 1, 2022 Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Jan 13, 2026 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Nov 1, 2025 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Dec 1, 2022 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Sep 1, 2022 Accepting new patients
Tri-County Memorial Hospital, Inc. Current Accepting new patients
Gundersen Clinic, LTD. CurrentSince Sep 1, 2022 Accepting new patients
Memorial Hospital of Boscobel CurrentSince Sep 1, 2022 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Sep 1, 2022 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Dec 17, 2025 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Sep 1, 2022 Accepting new patients
St. Joseph's Health Services, Inc. CurrentSince Sep 1, 2022 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc Family Medicine CurrentSince Jan 14, 2026 Accepting new patients
Memorial Hospital of Boscobel CurrentSince Sep 1, 2022 Accepting new patients
Gundersen Clinic LTD Current Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Sep 1, 2022 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Dec 17, 2025 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Sep 1, 2022 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Dec 1, 2022 Accepting new patients

Locations

1200 Grant Blvd W
Wabasha, MN 55981
Phone (651) 565-4531

205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

501 Gopher Dr
Tomah, WI 54660
Phone (608) 371-2181

505 Gopher Dr
Tomah, WI 54660
Phone (608) 372-2181

18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-1712

Interoperability endpoints

  • Direct secure messaging: bstott639909@direct.emplifyhealth.org

Organizations & group practices 22

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 22

Hospital & facility affiliations 5

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": "1522454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1780180612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOTT",
        "first_name": "BLAINE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-31",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "72298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

Verify at the official NPI Registry.