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AVERY FOSSUM
NPI 1043905185
Student in an Organized Health Care Education/Training Program in Madison, WI

Active since April 05, 2023
858 JUPITER DR, MADISON, WI 53718(608) 222-7511 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Avery Fossum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVERY FOSSUM (NPI 1043905185) is an individual student in an organized health care education/training program in Madison, Wisconsin and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1043905185
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameAVERY FOSSUM
Location Address858 JUPITER DRMadison, WI 53718-2946
Mailing Address3053 Oak Leaf CirFitchburg, WI 53711-5846 · (608) 514-3808
Phone(608) 222-7511
Sole ProprietorYes
Enumeration DateApril 5, 2023
NPPES CertifiedApril 5, 2023
✔ NPI 1043905185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
858 JUPITER DR, Madison, WI 53718
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN CHARLES STACEY DDS
Dentist (General Practice)
858 JUPITER DR
MADISON, WI 53718
Dane County (608) 222-7511
JOHN C. STACEY DDS SC
Dentist (General Practice)
858 JUPITER DR
MADISON, WI 53718
Dane County (608) 222-7511
DR. JOSHUA BRAUNS DDS
Dentist
858 JUPITER DR
MADISON, WI 53718
Dane County (608) 222-7511
DR. ERIK ANDREW STACEY DDS
Dentist (General Practice)
858 JUPITER DR
MADISON, WI 53718
Dane County (608) 222-7511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avery Fossum's NPI number?

The NPI number for Avery Fossum is 1043905185. It was assigned to this individual provider in the NPPES registry on April 5, 2023.

Where is Avery Fossum located?

Avery Fossum practices at 858 Jupiter Dr, Madison, WI 53718. The listed phone number is (608) 222-7511.

What is Avery Fossum's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

What insurance does Avery Fossum accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Wisconsin, Inc. and Florida Combined Life and 1 other insurer list Avery Fossum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Avery Fossum was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.