DR. DANIEL LEE ICENOGLE M.D.
NPI 1598714016
Family Medicine in Viroqua, WI
About Dr. Daniel Lee Icenogle M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DANIEL LEE ICENOGLE M.D. (NPI 1598714016) is an individual family medicine provider in Viroqua, Wisconsin, licensed in Wisconsin (29039) 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)
Dr. Daniel Lee Icenogle M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
7Medicare enrollment records show Daniel Icenogle reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Prairie Du Chien, WI 53821
- Reassigned Medicare billing, Wisconsin enrollment
- 231 clinicians in this Medicare group
Portage, WI 53901
- Reassigned Medicare billing, Wisconsin enrollment
- 359 clinicians in this Medicare group
Waupun, WI 53963
- Reassigned Medicare billing, Wisconsin enrollment
- 3 clinicians in this Medicare group
Spooner, WI 54801
- Reassigned Medicare billing, Wisconsin enrollment
- 62 clinicians in this Medicare group
Sandstone, MN 55072
- Reassigned Medicare billing, Minnesota enrollment
- 129 clinicians in this Medicare group
Montevideo, MN 56265
- Reassigned Medicare billing, Minnesota enrollment
- 149 clinicians in this Medicare group
Wheaton, MN 56296
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1043218753 (Minnesota)
- 219 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 54665 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.
VIROQUA, WI 54665
VIROQUA, WI 54665
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 Daniel Icenogle's NPI number?
The NPI number for Daniel Icenogle is 1598714016. It was assigned to this individual provider in the NPPES registry on May 10, 2006.
Where is Daniel Icenogle located?
Daniel Icenogle practices at 507 S Main St, Viroqua, WI 54665. The listed phone number is (608) 637-4260.
What is Daniel Icenogle's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Daniel Icenogle enrolled in Medicare?
Yes. Daniel Icenogle is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Daniel Icenogle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Icenogle reassigns Medicare benefits to 7 organizations: Prairie Du Chien Memorial Hospital Association Inc (Prairie Du Chien, WI), Divine Savior Healthcare, Inc. (Portage, WI), Waupun Memorial Hospital (Waupun, WI), Spooner Health System, Inc. (Spooner, WI), Pine Medical Center (Sandstone, MN) and 2 more organizations, listed in the Medicare section above. Each 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 Daniel Icenogle'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 Daniel Icenogle was last updated on February 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dr. Daniel Lee Icenogle, M.D. · NPI 1598714016
Family Medicine physician in Viroqua, Wisconsin. Individual provider, active in the CMS NPPES registry since May 10, 2006.
## Identity
- **NPI:** 1598714016 (Entity type: Individual)
- **Enumerated:** May 10, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 29039 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 507 S MAIN ST, Viroqua, WI 54665-2059
- **Phone:** (608) 637-4260 · **Fax:** (608) 637-7492
## 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:** 7 organizations under Medicare reassignment (form CMS-855R): Prairie Du Chien Memorial Hospital Association Inc (NPI 1295883247, Prairie Du Chien, WI); Divine Savior Healthcare, Inc. (NPI 1124083894, Portage, WI); Waupun Memorial Hospital (NPI 1548248644, Waupun, WI); Spooner Health System, Inc. (NPI 1518982628, Spooner, WI); Pine Medical Center (NPI 1326041633, Sandstone, MN); and 2 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 18, 2013
- **Other identifiers:** Medicare UPIN C46090; Medicare ID-Type Unspecified 01300202 (WI); Medicaid 3136880 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1598714016) · Data from the CMS NPPES public registry.