JUSTINNE CERTEZA D.O.
NPI 1104562024
Family Medicine in Columbus, WI
About Justinne Certeza D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTINNE CERTEZA D.O. (NPI 1104562024) is an individual family medicine provider in Columbus, Wisconsin, licensed in Wisconsin (81887) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Madison, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Justinne Certeza D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Justinne Certeza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Madison, WI 53715
- Reassigned Medicare billing, Wisconsin enrollment
- 1,377 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ssm Health St Mary's Hospital - Madison
Acute Care Hospitals · Madison, WIColumbus Community Hospital
Critical Access Hospitals · Columbus, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53925 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Justinne Certeza's NPI number?
The NPI number for Justinne Certeza is 1104562024. It was assigned to this individual provider in the NPPES registry on May 12, 2022.
Where is Justinne Certeza located?
Justinne Certeza practices at 1513 Park Ave Fl 1, Columbus, WI 53925. The listed phone number is (920) 623-9611.
What is Justinne Certeza's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Justinne Certeza enrolled in Medicare?
Yes. Justinne Certeza is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Justinne Certeza's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justinne Certeza reassigns Medicare benefits to Dean Health Systems, Inc (Madison, 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 Justinne Certeza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Justinne Certeza accept?
Health plans from Dean Health Plan list Justinne Certeza 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.
Is Justinne Certeza affiliated with any hospitals?
According to CMS data, Justinne Certeza is affiliated with Ssm Health St Mary's Hospital - Madison and Columbus Community Hospital.
When was this NPI record last updated?
The NPPES record for Justinne Certeza was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Justinne Certeza, D.O. · NPI 1104562024
Family Medicine physician in Columbus, Wisconsin. Individual provider, active in the CMS NPPES registry since May 12, 2022.
## Identity
- **NPI:** 1104562024 (Entity type: Individual)
- **Enumerated:** May 12, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 81887 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1513 PARK AVE FL 1, Columbus, WI 53925-1793
- **Phone:** (920) 623-9611 · **Fax:** (920) 623-1787
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Dean Health Systems, Inc (NPI 1053358846, Madison, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** December 11, 2025
- **Other identifiers:** Medicaid 1104562024 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1104562024) · Data from the CMS NPPES public registry.