Individual provider Active NPI

Michael Jay Patney, D.O.

  • Orthopaedic Surgery Physician
  • Appleton, WI
National Provider Identifier
1922069053
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
70690 Issued in WI
Practice address
820 E Grant St
Appleton, WI 54911-3483
Phone
(920) 831-5050
Fax
(920) 738-6400
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X OS9041 FL
Orthopaedic Surgery Physician 207X00000X 70690 WI Primary

Addresses

Primary practice location

820 E Grant St
Appleton, WI 54911-3483

Mailing address

1728 Harrington Park Dr
Jacksonville, FL 32225-2685
Phone (904) 251-5683

Other practice location 1

3627 University Blvd S
Suite 435
Jacksonville, FL 32216-4230
Phone (904) 269-1930

Other identifiers 3

IdentifierTypeStateIssuer
2678934-00MedicaidFL
P01087488OtherFLRAILROAD MEDICARE
260255288AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WI, SD, TX, CA, IL6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20031211000874 FL Practitioner - Orthopedic Surgery 1850297599 Reassigns benefits to 1 organization
I20190124002238 WI Practitioner - Orthopedic Surgery 1850297599 Reassigns benefits to 1 organization
I20210111003091 SD Practitioner - Orthopedic Surgery 1850297599 Reassigns benefits to 1 organization
I20210429002976 TX Practitioner - Orthopedic Surgery 1850297599 Reassigns benefits to 1 organization
I20210628000780 CA Practitioner - Orthopedic Surgery 1850297599 Reassigns benefits to 1 organization
I20211014003143 IL Practitioner - Orthopedic Surgery 1850297599 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70690WIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Care Surgical Affiliates of Texas PA Orthopaedic Surgery CurrentSince May 14, 2021 Accepting new patients
Acute Care Surgery Medical Group, Inc. Orthopaedic Surgery CurrentSince Jul 9, 2021 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Sep 15, 2003 Accepting new patients
Thedacare, Incorporated CurrentSince Dec 30, 2018 Accepting new patients
Thedacare, Incorporated CurrentSince Dec 30, 2018 Accepting new patients
Acute Care Surgery of South Dakota PC Orthopaedic Surgery CurrentSince Jan 15, 2021 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Orthopaedic Surgery CurrentSince Sep 15, 2003 Accepting new patients
Physicians Group Services PA Orthopaedic Surgery Past Accepting new patients
Acute Care Surgery Medical Group, Inc. PastSince Jul 2, 2023 Accepting new patients
Jacksonville Multispecialty Services, LLC Orthopaedic Surgery Past Accepting new patients

Locations

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

1800 Spring Ridge Dr
Susanville, CA 96130
Phone (530) 252-2225

1443 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 633-4110

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

405 W Jackson St
Carbondale, IL 62901

19 E Shawnee Dr
Murphysboro, IL 62966
Phone (618) 684-2172

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

122 E College Ave
Appleton, WI 54911
Phone (920) 996-3264

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000

Interoperability endpoints

  • Direct secure messaging: mpatney785654@direct.ochsner.org

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1922069053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 HARRINGTON PARK DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322252685",
            "telephone_number": "904-251-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E GRANT ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549113483",
            "telephone_number": "920-831-5050",
            "fax_number": "920-738-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3627 University Blvd S",
            "address_2": "Suite 435",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322164230",
            "country_code": "US",
            "telephone_number": "904-269-1930",
            "fax_number": "904-269-1151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATNEY",
        "first_name": "MICHAEL",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "OS9041",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "70690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2678934-00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01087488",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260255288A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.