Active NPI
Justin Paul Purnell, MD
- Emergency Medicine Physician
- Madison, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 73462-20
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.95 of 100
- Quality
- 87.44
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison Emergency Physicians, SC | Emergency Medicine | Current | Accepting new patients |
| Prairie Ridge Health Inc. | Current | Accepting new patients | |
| Emergency Medicine Physicians of Franklin County, LTD | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Physicians of Lancaster, LTD. | Emergency Medicine | Current | Accepting new patients |
| Prairie Ridge Health, Inc. | Current | Accepting new patients | |
| Reedsburg Area Medical Center, Inc. | Current | Accepting new patients | |
| Southern Wisconsin Emergency Associates SC | Emergency Medicine | Current | Accepting new patients |
| Reedsburg Area Medical Center Inc | Current | Accepting new patients | |
| Reedsburg Area Medical Center, Inc. | Current | 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.
-
- Emergency Medicine Physician
- Madison, WI
- NPI 1588646095
-
- Critical Access Hospital
- Reedsburg, WI
- NPI 1891796710
-
- Emergency Medicine Physician
- Beloit, WI
- NPI 1568538189
-
- Emergency Medicine Physician
- Columbus, OH
- NPI 1538108501
-
- Emergency Medicine Physician
- Lancaster, OH
- NPI 1881025344
-
- Critical Access Hospital
- Columbus, WI
- NPI 1841376183
-
- Family Medicine Physician
- Sun Prairie, WI
- NPI 1699534545
-
- Orthopaedic Surgery Physician
- Columbus, WI
- NPI 1912329335
-
- Rural Health Clinic/Center
- La Valle, WI
- NPI 1437049566
-
- Family Medicine Physician
- Reedsburg, WI
- NPI 1457780983
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.