Individual provider Active NPI

Debra M. Nyquist, MD

  • Family Medicine Physician
  • Madison, WI
National Provider Identifier
1972580512
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
67795 Issued in WI
Practice address
202 S Park St
Madison, WI 53715-1507
Phone
(608) 417-5695
Fax
(608) 417-5890
NPI assigned
Dec 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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 67795 WI Primary

Addresses

Primary practice location

202 S Park St
Madison, WI 53715-1507

Mailing address

202 S Park St
Madison, WI 53715-1507
Phone (608) 417-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20090611000756 MN Practitioner - Family PracticePractitioner - Emergency Medicine 1355491390 Reassigns benefits to 2 organizations
I20171109001109 WI Practitioner - Family Practice 1355491390 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meriter Hospital IncGroup PAC ID 3971412735, 122 clinicians

Practice addresses (Care Compare)

202 S Park St
Madison, WI 53715-1507
Phone (608) 417-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.59 of 100Reported as group
Quality
84.57
Promoting interoperability
91
Improvement activities
40
Cost
81.57

Merit-based Incentive Payment System (MIPS)

Final score
93.62 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
20
Cost
100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67795WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regency Hospital of Minneapolis, LLC CurrentSince Sep 9, 2018 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Aug 1, 1998 Accepting new patients
SSM Health Care of Wisconsin, Inc. CurrentSince Sep 25, 2017 Accepting new patients
SSM Health Care of Wisconsin Inc CurrentSince Sep 25, 2017 Accepting new patients
Meriter Hospital, Inc. CurrentSince Jul 3, 2023 Accepting new patients
Meriter Hospital, Inc. CurrentSince Jul 3, 2023 Accepting new patients
Upland Hills Health Inc Current Accepting new patients
Upland Hills Health, Inc. CurrentSince Mar 7, 2020 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Aug 1, 1998 Accepting new patients
Upland Hills Health, Inc CurrentSince Mar 7, 2020 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients

Locations

7153 Solutions Ctr
Chicago, IL 60677

111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401

1601 Golf Course Rd
Grand Rapids, MN 55744
Phone (218) 326-3401

126 SE 1st Ave
Grand Rapids, MN 55744
Phone (218) 326-3401

1300 Hidden Lakes Pkwy
Minneapolis, MN 55422
Phone (763) 588-2750

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

707 14th St
Baraboo, WI 53913
Phone (608) 356-1400

800 Compassion Way
Dodgeville, WI 53533
Phone (608) 930-7200

202 S Park St
Madison, WI 53715
Phone (608) 267-6000

202 S Park St
#8T
Madison, WI 53715

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

Interoperability endpoints

  • Direct secure messaging: dnyquist972275@direct.unitypoint.org
  • Direct secure messaging: dnyquist262214@direct-ehr-ssmhc.com

Organizations & group practices 11

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1135555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1972580512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S PARK ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151507",
            "telephone_number": "608-417-6000",
            "fax_number": "608-417-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S PARK ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151507",
            "telephone_number": "608-417-5695",
            "fax_number": "608-417-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYQUIST",
        "first_name": "DEBRA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-26",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "67795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.