NPIMap

Individual provider Active NPI

Mark S Heberlein, DO

  • Family Medicine Physician
  • Cashton, WI
National Provider Identifier
1891791067
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36061 Issued in WI
Practice address
238 Front St
Cashton, WI 54619-2002
Phone
(608) 654-5100
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 36061 WI
Emergency Medicine Physician 207P00000X 36061 WI
Family Medicine Physician 207Q00000X 36061 WI Primary

Addresses

Primary practice location

238 Front St
Cashton, WI 54619-2002

Mailing address

PO Box 39
Cashton, WI 54619-0039
Phone (608) 654-5100

Other practice location 1

200 W North St
Norwalk, WI 54648-8287
Phone (608) 654-5100

Other identifiers 1

IdentifierTypeStateIssuer
30064000MedicaidWI

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
I20080111000730 WI Practitioner - Family Practice 7416038716 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Osteopathic Manipulative Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scenic Bluffs Health Center IncGroup PAC ID 8325098296, shared by 2 NPIs, 19 clinicians

Practice addresses (Care Compare)

200 W N St
Norwalk, WI 54648-8287
Phone (608) 654-5100

238 Front St
Cashton, WI 54619-2002

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Moundview Memorial Hospital & Clinics, Inc Family Medicine Current Accepting new patients
Gundersen Clinic LTD CurrentSince Jan 1, 2008 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Aug 3, 2011 Accepting new patients
Scenic Bluffs Health Center, Inc. CurrentSince Jan 1, 2019 Accepting new patients
Gundersen Lutheran Express Care, Inc CurrentSince Jan 1, 2008 Accepting new patients
Reedsburg Area Medical Center, Inc. CurrentSince Aug 20, 2011 Accepting new patients
Scenic Bluffs Health Center, Inc CurrentSince Jan 1, 2019 Accepting new patients
Mile Bluff Medical Center Inc CurrentSince Oct 1, 2013 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Aug 3, 2011 Accepting new patients
Mile Bluff Medical Center Inc Emergency Medicine Current Accepting new patients
Reedsburg Area Medical Center Inc CurrentSince Aug 20, 2011 Accepting new patients
Mile Bluff Medical Center Inc CurrentSince Oct 1, 2013 Accepting new patients

Locations

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1040 Division St
Mauston, WI 53948
Phone (608) 847-5000

1050 Division St
Mauston, WI 53948
Phone (608) 847-6161

200 W North St
Norwalk, WI 54648
Phone 6086545100 ext. 226

1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681

610 E Taylor St
Prairie du Chien, WI 53821
Phone (608) 326-6466

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

507 S Main St
Viroqua, WI 54665
Phone (608) 637-2101

28 Commerce St
Wisconsin Dells, WI 53965
Phone (608) 254-5888

Interoperability endpoints

  • Direct secure messaging: mheberlein438511@direct.gundersenhealth.org

Organizations & group practices 12

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.

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1891791067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39",
            "city": "CASHTON",
            "state": "WI",
            "postal_code": "546190039",
            "telephone_number": "608-654-5100",
            "fax_number": "608-654-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 FRONT ST",
            "city": "CASHTON",
            "state": "WI",
            "postal_code": "546192002",
            "telephone_number": "608-654-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W North St",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "WI",
            "postal_code": "546488287",
            "country_code": "US",
            "telephone_number": "608-654-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEBERLEIN",
        "first_name": "MARK",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "WI",
            "license": "36061",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "36061",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "36061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30064000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cashton, WI

Sources for this page

Verify at the official NPI Registry.