NPIMap

Individual provider Active NPI

Emily J Smith, PA

  • Medical Physician Assistant
  • Prairie Du Sac, WI
National Provider Identifier
1891990610
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2161 Issued in WI
Practice address
W14080 W Point Dr
Prairie Du Sac, WI 53578-9564
Phone
(920) 728-2711
NPI assigned
Jun 20, 2007
Last updated
Dec 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2161 WI Primary

Addresses

Primary practice location

W14080 W Point Dr
Prairie Du Sac, WI 53578-9564

Mailing address

W14080 W Point Dr
Prairie Du Sac, WI 53578-9564
Phone (920) 728-2711

Other names 1

  • Ms. Emily J Peternell Former name

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
I20070727000794 WI Practitioner - Physician Assistant 3274634787 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

110 E Main St
Reedsburg, WI 53959-1936
Phone (608) 768-3900

1104 21St St
Reedsburg, WI 53959-1156
Phone (608) 768-3900

1900 N Dewey Ave
Reedsburg, WI 53959-1098
Phone (608) 524-6477

2000 N Dewey Ave
Reedsburg, WI 53959-1049
Phone (608) 524-6487

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.19 of 100Reported as group
Quality
74.01
Improvement activities
40

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2161WIMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Aug 27, 2010 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Aug 27, 2010 Accepting new patients
Reedsburg Area Medical Center Inc CurrentSince Nov 18, 2017 Accepting new patients
Reedsburg Area Medical Center, Inc. CurrentSince Nov 18, 2017 Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients
Sauk Prairie Healthcare Inc Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

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

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

260 26th St
Prairie du Sac, WI 53578
Phone (608) 643-2471

80 1st St
Prairie du Sac, WI 53578
Phone (608) 643-3311

1900 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6477

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

Interoperability endpoints

  • Direct secure messaging: esmith1027380@direct.unitypoint.org

Organizations & group practices 8

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 5

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": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1891990610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W14080 W POINT DR",
            "city": "PRAIRIE DU SAC",
            "state": "WI",
            "postal_code": "535789564",
            "telephone_number": "920-728-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W14080 W POINT DR",
            "city": "PRAIRIE DU SAC",
            "state": "WI",
            "postal_code": "535789564",
            "telephone_number": "920-728-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EMILY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "2161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "PETERNELL",
            "middle_name": "J",
            "prefix": "MS.",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Prairie Du Sac, WI

Sources for this page

Verify at the official NPI Registry.