Jessica W Dalby, MD
Individual provider Active NPI Family Medicine Physician · Madison, WI
NPI 1912166992 · NPPES record last updated Jan 6, 2021
Key facts
- NPI
- 1912166992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 54259-020 (WI)
- Practice address
- 1102 S Park St
Madison, WI 53715-1708 - Phone
- (608) 263-3111
- Fax
- (608) 263-6663
- NPI assigned
- Jun 5, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Baylor College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Access Community Health Centers Inc
Practice addresses (Care Compare)
2202 S Park St
Madison, WI 53713-1916
Phone (608) 443-5480
3434 E Washington Ave
Madison, WI 53704-4155
Phone (608) 443-5480
Hospital & facility affiliations
- University of Wi Hospitals & Clinics Authority
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.32 of 100
- Quality
- 87.78
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 75.8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111108000905 | WI | Practitioner - Family Practice | 8729251624 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54259-020 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Community Health Centers, Inc. | Current |
Accepting new patients | |
| University of Wisconsin Medical Foundation, Inc | Current |
Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Access Community Health Centers, Inc. | Current |
Accepting new patients | |
| University of Wisconsin Medical Foundation, Inc | Current |
Accepting new patients | |
| Planned Parenthood of Wisconsin | Past | Accepting new patients | |
| Planned Parenthood of Wisconsin | Past | Accepting new patients | |
| Planned Parenthood of Wisconsin | Past | Accepting new patients |
Locations
1102 S Park St
Madison, WI 53715
Phone (608) 263-3111
2202 S Park St
Madison, WI 53713
Phone (608) 443-5480
2901 W Beltline Hwy
Ste 120
Madison, WI 53713
Phone (608) 443-5500
600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325
7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270
Interoperability endpoints
- jessica.dalby.p1@direct.ppwi.nextgenshare.com
- jdalby756484@direct.ochin.org
- jdalby264466@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 54259-020 | WI | Yes |
Addresses
Primary practice location
1102 S Park St
Madison, WI 53715-1708
Mailing address
7974 Uw Health CT
Middleton, WI 53562-5531
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jdalby28040@direct.uwhealth.org |
Other providers in Madison, WI
- David A Daiga
- Anthony Levell Dailey II
- Seth H Dailey
- Kara Jo Daily
- Heather L Dakter
- Barbara R Dale
- Crystal Lynn Dalebroux
- Eileen F Dalebroux
- Marie A Daleo
- Amy E Daley
All providers in Madison, WI · Family Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.