Jordan Daniel Urbanek, MD
Individual provider Active NPI Psychiatry Physician · Viroqua, WI
NPI 1922461813 · NPPES record last updated Aug 22, 2025
Key facts
- NPI
- 1922461813
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 72717-20 (WI)
- Practice address
- 507 S Main St
Viroqua, WI 54665-2059 - Phone
- (608) 637-2101
- NPI assigned
- Mar 30, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- University of Wisconsin School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vernon Memorial Healthcare Inc
Practice addresses (Care Compare)
407 S Main St
Suite 400
Viroqua, WI 54665-4000
Phone (608) 637-3174
507 S Main St
Viroqua, WI 54665-2059
Phone (608) 637-2101
Hospital & facility affiliations
- Vernon Memorial Hospital
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 |
|---|---|---|---|---|
| I20200903003143 | WI | Practitioner - Psychiatry | 1557652146 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vernon Memorial Healthcare, Inc. | Current | Accepting new patients | |
| Vernon Memorial Healthcare, Inc. | Current | Accepting new patients | |
| Vernon Memorial Healthcare, Inc | Current | Accepting new patients | |
| Vernon Memorial Healthcare, Inc. | Current |
Accepting new patients | |
| Vernon Memorial Healthcare, Inc. | Current |
Accepting new patients | |
| Boise State Health Center | Past |
Accepting new patients |
Locations
206 N Mill St
La Farge, WI 54639
Phone (608) 625-2494
102 Sunset Ave
Soldiers Grove, WI 54655
Phone (608) 624-5203
407 S Main St
Ste 400
Viroqua, WI 54665
Phone (608) 637-3174
507 S Main St
Viroqua, WI 54665
Phone (608) 637-2101
100 Melby St
Westby, WI 54667
Phone (608) 634-3125
Interoperability endpoints
- jurbanek1325501@ehrdirect.mayoclinicmsg.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 72717-20 | WI | Yes |
Addresses
Primary practice location
507 S Main St
Viroqua, WI 54665-2059
Mailing address
507 S Main St
Viroqua, WI 54665-2059
Phone (608) 637-2101
Other providers in Viroqua, WI
- Transformationalchemy Sol Chiropractic
- Tri-State Regional Ambulance, Inc.
- Sara Troshynski Fredelake
- Olivia R Tryggestad
- Megan Faith Tully
- Katherine Rachel Van Es Komp
- David A Vandyke
- Scott Vatland
- Kimberlee Verbsky
- Justin Vermeer
All providers in Viroqua, WI · Psychiatry 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 Aug 22, 2025. 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.