NPIMap

Individual provider Active NPI

Diane Emma Bussan, MD

  • Family Medicine Physician
  • Cross Plains, WI
National Provider Identifier
1891354916
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
77118 Issued in WI
Practice address
2418 Brewery Rd
Cross Plains, WI 53528-9470
Phone
(608) 798-3344
NPI assigned
Jun 12, 2019
Last updated
Oct 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2019039838 MO
Family Medicine Physician 207Q00000X 77118 WI Primary

Addresses

Primary practice location

2418 Brewery Rd
Cross Plains, WI 53528-9470

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Other practice location 1

551 E Southampton Dr
Columbia, MO 65201-4236
Phone (573) 884-7733

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dbussan800103@direct.uwhealth.org
Direct Messaging Address dbussan800103@direct.uwhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220802003337 WI Practitioner - Family Practice 8022343250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Wisconsin School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2418 Brewery Rd
Cross Plains, WI 53528-9470
Phone (608) 798-3344

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
87.78
Promoting interoperability
77
Improvement activities
40
Cost
75.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions25
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wisconsin Medical Foundation, Inc CurrentSince Aug 1, 2022 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Aug 1, 2022 Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients

Locations

2418 Brewery Rd
Cross Plains, WI 53528
Phone (608) 798-3344

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1891354916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 BREWERY RD",
            "city": "CROSS PLAINS",
            "state": "WI",
            "postal_code": "535289470",
            "telephone_number": "608-798-3344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "551 E Southampton Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652014236",
            "country_code": "US",
            "telephone_number": "573-884-7733",
            "fax_number": "573-882-6228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSSAN",
        "first_name": "DIANE",
        "middle_name": "EMMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2019039838",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "77118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dbussan800103@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "2418 Brewery Rd",
            "city": "Cross Plains",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535289470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dbussan800103@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "2418 Brewery Rd",
            "city": "Cross Plains",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535289470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cross Plains, WI

Sources for this page

Verify at the official NPI Registry.