Active NPI
Gerald Dennis Fushianes, PA-C
- Physician Assistant
- Tomah, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1811-023
- Practice address
- 501 Gopher Dr
Tomah, WI 54660-4513 - Phone
- (608) 371-2181
- NPI assigned
- Mar 14, 2007
- Last updated
- Jun 30, 2025
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1811-023 | WI | Primary |
| Medical Physician Assistant | 363AM0700X | 002256 | IA | |
| Medical Physician Assistant | 363AM0700X | AMD-312 | HI | |
| Medical Physician Assistant | 363AM0700X | 1351 | NE | |
| Medical Physician Assistant | 363AM0700X | PA19722 | CA | |
| Medical Physician Assistant | 363AM0700X | 1811-023 | WI | |
| Medical Physician Assistant | 363AM0700X | 5601002730 | MI | |
| Medical Physician Assistant | 363AM0700X | 10386 | MN |
Addresses
Primary practice location
501 Gopher Dr
Tomah, WI 54660-4513
Mailing address
501 Gopher Dr
Tomah, WI 54660-4513
Phone (608) 371-2181
Other practice location 1
700 West Ave S
LA Crosse, WI 54601
Phone (608) 785-0940
Other practice location 2
18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-4361
Other practice location 3
18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-4361
Other practice location 4
18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-4361
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jfushianes10703@direct.monroeclinic.org | Direct | Tomah Memorial Hospital Inc |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
501 Gopher Dr
Tomah, WI 54660-4513
Phone (608) 372-2181
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA19722 | CA | MD | Medical Physician Assistant |
| AMD-312 | HI | MD | Medical Physician Assistant |
| 5601002730 | MI | MD | Medical Physician Assistant |
| 1811-023 | WI | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Black River Health Inc | Current | Accepting new patients | |
| Tri-County Memorial Hospital Inc | Current | Accepting new patients | |
| Tri-County Memorial Hospital, Inc. | Current | Accepting new patients | |
| Tomah Memorial Hospital Inc | Current | Accepting new patients | |
| Black River Health Inc | Current | Accepting new patients | |
| Tomah Memorial Hospital Inc | Current | Accepting new patients | |
| Family Doctors | Past | Accepting new patients |
Locations
711 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-3604
501 Gopher Dr
Tomah, WI 54660
Phone (608) 371-2181
18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-1712
Interoperability endpoints
- gfushianes55356@direct.gundersenhealth.org
- gfushianes750891@direct.emplifyhealth.org
- jfushianes10703@direct.monroeclinic.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Black River Falls, WI
- NPI 1811940331
-
- Rural Health Clinic/Center
- Whitehall, WI
- NPI 1417201864
-
- Medicare Defined Swing Bed Hospital Unit
- Black River Falls, WI
- NPI 1003914011
-
dba Black River Healthcare Clinic
- Rural Health Clinic/Center
- Black River Falls, WI
- NPI 1255183182
-
dba Tomah Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- Tomah, WI
- NPI 1205978046
-
- Clinic/Center
- Independence, WI
- NPI 1073335642
-
- General Practice Physician
- Denton, TX
- NPI 1093928970
Hospital & facility affiliations 1
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": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1881727113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 GOPHER DR",
"city": "TOMAH",
"state": "WI",
"postal_code": "546604513",
"telephone_number": "608-371-2181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 GOPHER DR",
"city": "TOMAH",
"state": "WI",
"postal_code": "546604513",
"telephone_number": "608-371-2181"
}
],
"practiceLocations": [
{
"address_1": "700 West Ave S",
"address_purpose": "LOCATION",
"city": "LA Crosse",
"state": "WI",
"postal_code": "54601",
"country_code": "US",
"telephone_number": "608-785-0940",
"fax_number": "608-374-0355",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18601 Lincoln St",
"address_purpose": "LOCATION",
"city": "Whitehall",
"state": "WI",
"postal_code": "54773",
"country_code": "US",
"telephone_number": "715-538-4361",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18601 Lincoln St",
"address_purpose": "LOCATION",
"city": "Whitehall",
"state": "WI",
"postal_code": "54773",
"country_code": "US",
"telephone_number": "715-538-4361",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18601 Lincoln St",
"address_purpose": "LOCATION",
"city": "Whitehall",
"state": "WI",
"postal_code": "54773",
"country_code": "US",
"telephone_number": "715-538-4361",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FUSHIANES",
"first_name": "GERALD",
"middle_name": "DENNIS",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "1811-023",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IA",
"license": "002256",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "HI",
"license": "AMD-312",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NE",
"license": "1351",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA19722",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WI",
"license": "1811-023",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MI",
"license": "5601002730",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MN",
"license": "10386",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jfushianes10703@direct.monroeclinic.org",
"affiliation": "Y",
"affiliationName": "Tomah Memorial Hospital Inc",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "jfushianes10703@direct.monroeclinic.org",
"address_1": "501 Gopher Dr",
"city": "Tomah",
"state": "WI",
"country_code": "US",
"postal_code": "546604513",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tomah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.