Jane E Anderson, MD
Individual provider Active NPI Family Medicine Physician · Janesville, WI
NPI 1942220140 · NPPES record last updated Apr 3, 2013
Key facts
- NPI
- 1942220140
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 44774-20 (WI)
- Practice address
- 849 Kellogg Ave
Janesville, WI 53546-2808 - Phone
- (608) 755-7960
- Fax
- (608) 755-7873
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Wisconsin School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mercy Health System Corporation
Practice addresses (Care Compare)
849 Kellogg Ave
Janesville, WI 53546-2808
Phone (608) 755-7960
Hospital & facility affiliations
- Mercyhealth at Home
- Mercyhealth at Home
- Mercy Health System Corp
- Mercy Walworth Hospital & Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI, IL
- 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 |
|---|---|---|---|---|
| I20100604001042 | WI | Practitioner - Family Practice | 3375673122 | Reassigns benefits to 1 organization |
| I20200331000098 | IL | Practitioner - Family Practice | 3375673122 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44774-20 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockford Health Physicians | Current |
Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Current |
Accepting new patients | |
| Mercy Health System Corporation | Current |
Accepting new patients | |
| Mercy Health System Corporation | Past | Accepting new patients |
Locations
500 W Il Route 22
Barrington, IL 60010
Phone (847) 381-3000
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
348 S Division St
Harvard, IL 60033
Phone (815) 943-1122
1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
849 Kellogg Ave
Janesville, WI 53546
Phone (608) 755-7960
725 S Janesville St
Milton, WI 53563
Phone (608) 868-5800
Interoperability endpoints
- janderson1784@direct.mhemail.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 44774-20 | WI | Yes |
Addresses
Primary practice location
849 Kellogg Ave
Janesville, WI 53546-2808
Mailing address
849 Kellogg Ave
Janesville, WI 53546-2808
Phone (608) 755-7960
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942220140 | Medicaid | WI |
Other providers in Janesville, WI
- Melissa R Amertil
- Ams of Wisconsin-Janesville, LLC
- Rebecca Amstutz
- Yone Amuka
- Dryw C Anderson
- Kaj U Anderson
- Latoya Christina Anderson
- Michelle M Anderson
- Sarah Anderson
- Sheree R Anderson
All providers in Janesville, 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 Apr 3, 2013. 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.