Individual provider Active NPI

Justin Paul Purnell, MD

  • Emergency Medicine Physician
  • Madison, WI
National Provider Identifier
1841787983
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
73462-20 Issued in WI
Practice address
619 N Segoe Rd Apt 509
Madison, WI 53705-3157
Phone
(859) 866-2893
NPI assigned
Apr 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 73462-20 WI Primary

Addresses

Primary practice location

619 N Segoe Rd Apt 509
Madison, WI 53705-3157

Mailing address

619 N Segoe Rd Apt 509
Madison, WI 53705-3157
Phone (859) 866-2893

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, OH2 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
I20210610000487 WI Practitioner - Emergency Medicine 9638426687 Reassigns benefits to 5 organizations
I20221006003230 OH Practitioner - Emergency Medicine 9638426687 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.95 of 100Reported as group
Quality
87.44
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Emergency Physicians, SC Emergency Medicine CurrentSince Feb 10, 2025 Accepting new patients
Prairie Ridge Health Inc. CurrentSince Dec 3, 2025 Accepting new patients
Emergency Medicine Physicians of Franklin County, LTD Emergency Medicine CurrentSince Aug 2, 2022 Accepting new patients
Emergency Medicine Physicians of Lancaster, LTD. Emergency Medicine CurrentSince Aug 2, 2022 Accepting new patients
Prairie Ridge Health, Inc. CurrentSince Dec 3, 2025 Accepting new patients
Reedsburg Area Medical Center, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Southern Wisconsin Emergency Associates SC Emergency Medicine CurrentSince Jul 1, 2021 Accepting new patients
Reedsburg Area Medical Center Inc CurrentSince Oct 1, 2024 Accepting new patients
Reedsburg Area Medical Center, Inc. CurrentSince Oct 1, 2024 Accepting new patients

Locations

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

5100 W Broad St
New Rome, OH 43228
Phone (614) 544-1000

707 14th St
Baraboo, WI 53913
Phone (608) 356-1400

1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011

1515 Park Ave
Columbus, WI 53925
Phone (920) 623-1200

430 E Division St
Fond du Lac, WI 54935
Phone (920) 926-4200

3400 E Racine St
Janesville, WI 53546
Phone (608) 373-8000

700 S Park St
Madison, WI 53715
Phone (608) 260-2900

2000 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6487

530 Wisconsin Dells Pkwy S
Wisconsin Dells, WI 53965
Phone (608) 253-8515

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1523664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1841787983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 N SEGOE RD APT 509",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053157",
            "telephone_number": "859-866-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 N SEGOE RD APT 509",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053157",
            "telephone_number": "859-866-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURNELL",
        "first_name": "JUSTIN",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-14",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "73462-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.