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Ellen Marie Bergendahl

Pharmacist β€’ Baraboo, WI

Active NPI 1457733669 Individual Practitioner Female Practitioner
Practice location in NPPES

1700 Tuttle St
Baraboo, WI 539133319

Call 6083553800 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1700 Tuttle St

Baraboo, WI 539133319

Telephone 6083553800
Organization at the Same NPPES Address or Phone
St. Marys Dean Ventures Inc. Facility NPI 1811944093

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Baraboo and Wisconsin

18 active clinicians are listed under Pharmacist with a practice address in Baraboo, WI (5,400 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Baraboo

0% of these 18 clinicians have the CMS telehealth indicator.

0% of these 18 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-11-15
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES WI 17922-40

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

27 listed
Dr. Faith Anderson , MD

Student in an Organized Health Care Education/Training Program

NPI 1265285225

Doctor of Medicine (M.D.)

Matthew Brelie , APNP

Nurse Practitioner

NPI 1568292373

Advanced Practice Nurse Prescriber

Dr. Ethan Carlson , MD

Family Medicine

NPI 1265498588

Doctor of Medicine (M.D.)

Kathleen Collins , PA-C

Physician Assistant

NPI 1508822404

Physician Assistant (Certified)

NPI 1578513982

Doctor of Medicine (M.D.)

NPI 1942469242

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location November 15, 2024

Registered at 1700 TUTTLE ST, BARABOO, WI 539133319 (Tel: 6083553800)

πŸ“
Updated Business Mailing Address November 15, 2024

Registered at 1700 TUTTLE ST, BARABOO, WI 539133319

βœ…
NPI Profile Active June 24, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 24, 2015

Registered at 1725 NORTHPORT DR, MADISON, WI 537043025 (Tel: 6082417001)

πŸ“
Business Mailing Address (Initial Record) June 24, 2015

Registered at 1725 NORTHPORT DR, MADISON, WI 537043025 (Tel: 6082417001)

πŸ‘€
Provider Name / Credentials (Initial Record) June 24, 2015

Recorded as ELLEN BERGENDAHL

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2015

Pharmacist (license number reported to NPPES: WI 17922-40)

🟒
Initial NPI Registration & Enumeration June 24, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1457733669
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2015
Last Update: November 15, 2024
Sole Proprietor: No

Other Pharmacists in Baraboo

All Pharmacists in Baraboo

Mailing Address

1700 Tuttle St

Baraboo, WI 539133319

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.