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JUSTINNE CERTEZA D.O.
NPI 1104562024
Family Medicine in Columbus, WI

Active since May 12, 2022PECOS EnrolledAccepts Medicare Assignment
1513 PARK AVE FL 1, COLUMBUS, WI 53925(920) 623-9611(920) 623-1787 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 11, 2025, Sep 12, 2025, May 12, 2022 (3 updates tracked since 2022).

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

NPI1104562024
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJUSTINNE CERTEZACredential: D.O.
Location Address1513 PARK AVE FL 1Columbus, WI 53925-1793
Mailing Address1513 Park Ave Fl 1Columbus, WI 53925-1793
Phone(920) 623-9611
Fax(920) 623-1787
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 12, 2022
Last NPPES UpdateDecember 11, 20253 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
✔ NPI 1104562024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 81887
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1513 PARK AVE FL 1, Columbus, WI 53925
Open in Google Maps ↗

Other Identifiers 1

Medicaid1104562024WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID1951789940
PECOS Enrollment IDI20250908000188
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

Columbus Community Hospital

Critical Access Hospitals · Columbus, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521338
Location1515 Park AveColumbus, WI 53925 · Columbia County
Emergency services

Physician 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.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

JAMIE L BLAVAT OD
Optometrist
1513 PARK AVE FL 1
COLUMBUS, WI 53925
Columbia County (920) 623-2431
DR. JEAN CHRISTINA CARSTENSEN M.D.
Family Medicine
1513 PARK AVE FL 1
COLUMBUS, WI 53925
Columbia County (920) 623-9611
TINA MARIE HAASE APNP
Nurse Practitioner
1513 PARK AVE FL 1
COLUMBUS, WI 53925
Columbia County (920) 623-9611

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.

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 7 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.