JOHN DOUGLAS IPSEN
NPI 1073564126
Family Medicine in Ashland, WI
About John Douglas Ipsen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN DOUGLAS IPSEN (NPI 1073564126) is an individual family medicine provider in Ashland, Wisconsin, licensed in Wisconsin (32307-20) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John Douglas Ipsen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Ipsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ashland, WI 54806
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis
- 32 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54806 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ASHLAND, WI 54806
ASHLAND, WI 54806
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 John Ipsen's NPI number?
The NPI number for John Ipsen is 1073564126. It was assigned to this individual provider in the NPPES registry on May 13, 2006.
Where is John Ipsen located?
John Ipsen practices at 53585 Nokomis Rd, Ashland, WI 54806. The listed phone number is (715) 682-7133.
What is John Ipsen's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is John Ipsen enrolled in Medicare?
Yes. John Ipsen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for John Ipsen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Ipsen reassigns Medicare benefits to Bad River Band Of Lake Superior Tribe Of Chippewa Indains Wis (Ashland, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Ipsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for John Ipsen was last updated on July 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# John Douglas Ipsen · NPI 1073564126
Family Medicine physician in Ashland, Wisconsin. Individual provider, active in the CMS NPPES registry since May 13, 2006.
## Identity
- **NPI:** 1073564126 (Entity type: Individual)
- **Enumerated:** May 13, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 32307-20 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 53585 NOKOMIS RD, Ashland, WI 54806-4272
- **Phone:** (715) 682-7133 · **Fax:** (715) 685-7857
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Bad River Band Of Lake Superior Tribe Of Chippewa Indains Wis (NPI 1366618506, Ashland, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 14, 2017
- **Other identifiers:** Medicare UPIN F51043 (MN); Other 080005095 (MN); Medicaid 220313800 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1073564126) · Data from the CMS NPPES public registry.