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MILE BLUFF MEDICAL CENTER INC
NPI 1609912005
Emergency Medicine in Mauston, WI

Active since January 30, 2007
1050 DIVISION ST, MAUSTON, WI 53948(608) 847-6161(608) 847-2079 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 10, 2026, May 5, 2025, Mar 30, 2025 and 1 more (4 updates tracked since 2019).

About Mile Bluff Medical Center Inc NPPES

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

MILE BLUFF MEDICAL CENTER INC (NPI 1609912005), doing business as Mile Bluff Er/uc Providers, is a healthcare organization registered as an emergency medicine in Mauston, Wisconsin and active in the NPI registry since January 2007. The organization maintains a secondary practice location in Mauston and lists Thomas Kaminski, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1609912005
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameMILE BLUFF MEDICAL CENTER INC
Location Address1050 DIVISION STMauston, WI 53948-1931
Mailing Address1050 Division StMauston, WI 53948-1931 · (608) 847-6161 · Fax (608) 847-2079
Phone(608) 847-6161
Fax(608) 847-2079
Organization SubpartYes
Authorized OfficialThomas KaminskiVp/cfo · (608) 847-1452
Enumeration DateJanuary 30, 2007
Last NPPES UpdateApril 10, 20264 updates tracked since enumeration
NPPES CertifiedApril 10, 2026
✔ NPI 1609912005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
Also ListedPhysician AssistantTaxonomy 363A00000X
1050 DIVISION ST, Mauston, WI 53948
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Other Names 1

Doing Business AsMile Bluff Er/uc Providers

Secondary Practice Location 1

Location 1406 Gateway AveMauston, WI 53948-1401 · Phone (608) 847-2961

Other Identifiers 1

Medicaid32762600WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mile Bluff Medical Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

189

Medicare enrollment records show 189 clinicians reassign Medicare billing to Mile Bluff Medical Center Inc, which bills Medicare for the services they deliver. Of these, 13 practice at this address and 38 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 18

Cardiovascular Disease (Cardiology)44
Emergency Medicine32
Nurse Practitioner28
Family Practice25
General Surgery16
Certified Registered Nurse Anesthetist (CRNA)10
Orthopedic Surgery6
Pediatric Medicine6
10 other specialties22

Nearest to this location (20)

See all 189
Jacklyn Abel, AGACNP-BC
Nurse Practitioner
NPI 1104631506
1050 DIVISION ST
Mauston, WI 53948
(608) 847-6161
✔ PECOS✔ Accepts MedicareSame address
Sabrina Mortensen, FNP-C
Nurse Practitioner
NPI 1801781588
1050 DIVISION ST
Mauston, WI 53948
(608) 847-6161
✔ PECOS✔ Accepts MedicareSame address
Paige Woggon
Certified Nurse Midwife (CNM)
NPI 1811642143
1050 DIVISION ST
Mauston, WI 53948
(608) 847-6161
✔ PECOS✔ Accepts MedicareSame address
Christopher Erkkila, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1720037369
1050 DIVISION ST
Mauston, WI 53948
(608) 847-6161
✔ PECOS✔ Accepts MedicareSame address
Kenneth Hallwood, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1427039718
1050 DIVISION ST
Mauston, WI 53948
(608) 847-6161
✔ PECOS✔ Accepts MedicareSame address
Shawn Johnson
Nurse Practitioner
NPI 1679245898
1050 DIVISION ST
Mauston, WI 53948
(608) 847-6161
✔ PECOS✔ Accepts MedicareSame address
Jacqueline Kemp, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1194137836
1050 DIVISION ST
Mauston, WI 53948
(608) 847-6161
✔ PECOS✔ Accepts MedicareSame address
James Lierman, NP
Nurse Practitioner
NPI 1356029300
1050 DIVISION ST
Mauston, WI 53948
(608) 847-6161
✔ PECOS✔ Accepts MedicareSame address
John Murphy, MD
Family Practice
NPI 1780686006
1050 DIVISION ST
Mauston, WI 53948
(608) 847-6161
✔ PECOS✔ Accepts MedicareSame address
Micah Playman, CRNA, NP
Certified Registered Nurse Anesthetist (CRNA)
NPI 1699738757
1050 DIVISION ST
Mauston, WI 53948
(608) 847-6161
✔ PECOSSame address
Barrett Shoults, MD
Emergency Medicine
NPI 1144563610
1050 DIVISION ST
Mauston, WI 53948
(630) 430-7563
✔ PECOS✔ Accepts MedicareSame address
Tonya Wesner, FNP
Nurse Practitioner
NPI 1689257503
1050 DIVISION ST
Mauston, WI 53948
(608) 847-6161
✔ PECOSSame address
Michael Wolf, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1861487597
1050 DIVISION ST
Mauston, WI 53948
(608) 847-6161
✔ PECOS✔ Accepts MedicareSame address
Brian Bielicki
Certified Registered Nurse Anesthetist (CRNA)
NPI 1154576569
1050 DIVISION ST
Mauston, WI 53948
(088) 476-1616
✔ PECOS✔ Accepts Medicare0.1 mi
Laiken Noble, CNM
Certified Nurse Midwife (CNM)
NPI 1659117216
1050 DIVISION ST
Mauston, WI 53948
(608) 847-6161
✔ PECOS✔ Accepts Medicare0.1 mi
Max Olesevich, M.D.
Emergency Medicine
NPI 1073706677
1050 DIVISION ST
Mauston, WI 53948
(608) 847-6161
✔ PECOS✔ Accepts Medicare0.1 mi
Timothy Bjelland, D.O.
Family Practice
NPI 1811984305
1040 DIVISION ST
Mauston, WI 53948
(608) 847-5000
✔ PECOS0.1 mi
Cristina Custer, NP
Nurse Practitioner
NPI 1548241821
1040 DIVISION ST
Mauston, WI 53948
(608) 847-5000
✔ PECOS✔ Accepts Medicare0.1 mi
James Grannell, D.O.
Orthopedic Surgery
NPI 1083662019
1040 DIVISION ST
Mauston, WI 53948
(608) 847-5000
✔ PECOS✔ Accepts Medicare0.1 mi
Richard Langen, DPM
Podiatry
NPI 1487641940
1040 DIVISION ST
Mauston, WI 53948
(608) 847-5000
✔ PECOS✔ Accepts Medicare0.1 mi
See all 189 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mile Bluff Medical Center Inc's NPI number?

The NPI number for Mile Bluff Medical Center Inc is 1609912005. It was assigned to this organization in the NPPES registry on January 30, 2007. The provider is doing business as Mile Bluff ER/UC Providers.

Where is Mile Bluff Medical Center Inc located?

Mile Bluff Medical Center Inc is located at 1050 Division St, Mauston, WI 53948. The listed phone number is (608) 847-6161.

What is Mile Bluff Medical Center Inc's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mile Bluff Medical Center Inc enrolled in Medicare?

Yes. Mile Bluff Medical Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mile Bluff Medical Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 189 clinicians in 18 Medicare specialties reassign their Medicare billing to Mile Bluff Medical Center Inc. A 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 the clinician's services. The largest specialties are Cardiovascular Disease (Cardiology) (44), Emergency Medicine (32) and Nurse Practitioner (28). Of these, 13 practice at this address and 38 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mile Bluff Medical Center Inc accept?

Health plans from Anthem Blue Cross and Blue Shield and Dean Health Plan list Mile Bluff Medical Center Inc 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 Mile Bluff Medical Center Inc was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.