Active NPI
John W. Wyllie III, M.D.
- Otolaryngology Physician
- Marshfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 3816
- Practice address
- 1000 N Oak Ave
Marshfield, WI 54449-5702 - Phone
- (715) 387-5511
- NPI assigned
- Nov 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 35084546 | OH | |
| Otolaryngology Physician | 207Y00000X | 36803 | KY | |
| Otolaryngology Physician | 207Y00000X | 73267 | MN | |
| Otolaryngology Physician | 207Y00000X | 23086 | WV | |
| Otolaryngology Physician | 207Y00000X | 3816 | WI | Primary |
Addresses
Primary practice location
1000 N Oak Ave
Marshfield, WI 54449-5702
Mailing address
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511
Other practice location 1
456 Suite C Market Place Mall
Weston, WV 26452
Phone (304) 517-1401
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L2496384 | Medicaid | OH | |
| 3810011846 | Medicaid | WV |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511
Hospital & facility affiliations
- Marshfield Medical Center
- Marshfield Medical Center - Weston
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.58 of 100
- Quality
- 55.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3816 | WI | MD | Clinical Social Worker |
| 36803 | KY | MD | Otolaryngology Physician |
| 73267 | MN | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marshfield Clinic Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Memorial Hospital Inc | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Memorial Hospital Inc | Current | Accepting new patients | |
| Memorial Hospital Inc | Past | Accepting new patients | |
| Fauster Cameron Inc. | Past | Accepting new patients | |
| Family Medical Clinic of Jane Lew | Past | Accepting new patients |
Locations
705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850
1000 N Oak Ave
Fl 2
Marshfield, WI 54449
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399
N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101
1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133
Interoperability endpoints
- jwyllie@direct.iuhealth.org
- https://fhir-myrecord.cerner.com/r4/67ff075a-8289-4f2d-a8eb-5dc1f0d954ab/
- him@marshfieldclinichealthsystem.cernerdirect.com
Organizations & group practices 16
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Beaver Dam, WI
- NPI 1972188555
-
- Clinic/Center
- Park Falls, WI
- NPI 1194317966
-
- Critical Access Hospital
- Park Falls, WI
- NPI 1700963048
-
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
- Clinic/Center
- Marshfield, WI
- NPI 1093221434
-
- Critical Access Hospital
- Ladysmith, WI
- NPI 1952890873
-
- Critical Access Hospital
- Neillsville, WI
- NPI 1346239373
-
- Pharmacy
- Beaver Dam, WI
- NPI 1295771780
-
- Clinic/Center
- Chetek, WI
- NPI 1659008605
-
- Durable Medical Equipment & Medical Supplies
- Eau Claire, WI
- NPI 1558230847
-
- Clinic/Center
- Weston, WI
- NPI 1992336655
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Weston, WI
- NPI 1902437650
-
- Rural Acute Care Hospital
- Marshfield, WI
- NPI 1942749387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708041600000",
"number": "1831171180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N OAK AVE",
"city": "MARSHFIELD",
"state": "WI",
"postal_code": "544495703",
"telephone_number": "715-387-5511",
"fax_number": "304-517-1404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N OAK AVE",
"city": "MARSHFIELD",
"state": "WI",
"postal_code": "544495702",
"telephone_number": "715-387-5511"
}
],
"practiceLocations": [
{
"address_1": "456 Suite C Market Place Mall",
"address_purpose": "LOCATION",
"city": "Weston",
"state": "WV",
"postal_code": "26452",
"country_code": "US",
"telephone_number": "304-517-1401",
"fax_number": "304-517-1404",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WYLLIE",
"first_name": "JOHN",
"middle_name": "W.",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-14",
"last_updated": "2024-02-16",
"certification_date": "2024-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "OH",
"license": "35084546",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "KY",
"license": "36803",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MN",
"license": "73267",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "WV",
"license": "23086",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "WI",
"license": "3816",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "L2496384",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810011846",
"state": "WV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
"affiliation": "N",
"address_1": "1000 N Oak Ave",
"city": "Marshfield",
"state": "WI",
"country_code": "US",
"postal_code": "544495702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Marshfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.