NPIMap

Individual provider Active NPI

Joleen E Falkenburg, MD

  • Family Medicine Physician
  • Lusk, WY
National Provider Identifier
1912014499
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9737A Issued in WY
Practice address
921 S Ballancee Ave
Lusk, WY 82225-8222
Phone
(307) 334-4000
NPI assigned
Aug 23, 2006
Last updated
Apr 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9737A WY Primary

Addresses

Primary practice location

921 S Ballancee Ave
Lusk, WY 82225-8222

Mailing address

PO Box 780
Lusk, WY 82225-0780
Phone (307) 334-4000

Other practice location 1

1041 Montgomery Street
Custer, SD 57730
Phone (605) 673-4150

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joleen.falkenburg.1@14719.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20160223001547 WY Practitioner - Family Practice 7416956263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Sanford School of Medicine of University of South Dakota, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Niobrara County Hospital DistrictGroup PAC ID 7012938780, 7 clinicians

Practice addresses (Care Compare)

921 Ballancee Ave
Lusk, WY 82225-5245
Phone (307) 334-4000

PO Box
Suite 780
Lusk, WY 82225

PO Box
Suite 780
Lusk, WY 82225-0780

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9737AWYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Niobrara County Hospital District CurrentSince Jan 6, 2016 Accepting new patients

Organizations & group practices 1

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1912014499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780",
            "city": "LUSK",
            "state": "WY",
            "postal_code": "822250780",
            "telephone_number": "307-334-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 S BALLANCEE AVE",
            "city": "LUSK",
            "state": "WY",
            "postal_code": "822258222",
            "telephone_number": "307-334-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1041 Montgomery Street",
            "address_purpose": "LOCATION",
            "city": "Custer",
            "state": "SD",
            "postal_code": "57730",
            "country_code": "US",
            "telephone_number": "605-673-4150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALKENBURG",
        "first_name": "JOLEEN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2021-04-01",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "9737A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joleen.falkenburg.1@14719.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "921 S Ballancee Ave",
            "city": "Lusk",
            "state": "WY",
            "country_code": "US",
            "postal_code": "822258222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lusk, WY

Sources for this page

Verify at the official NPI Registry.