Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457733669 Individual Practitioner Female Practitioner

Ellen Marie Bergendahl

Pharmacist • Baraboo, WI

Professional Overview & Biography Verified Profile Summary

Ellen Bergendahl is a registered healthcare professional specializing in Pharmacist in Baraboo, WI. Practice services are available at 1700 TUTTLE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1700 Tuttle St

Baraboo, WI 539133319

Telephone 6083553800
Associated Practice Facility / Clinic
🏢 St. Marys Dean Ventures Inc. Facility NPI 1811944093

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Baraboo, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
18 Specialists

Practicing in Baraboo, WI (5503 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-11-15
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Ame Fischer , CNM

Advanced Practice Midwife

NPI 1083228910

Certified Nurse Midwife

Dr. Cheryl Goeckermann , MD

Internal Medicine - Addiction Medicine

NPI 1083670665

Doctor of Medicine (M.D.)

NPI 1083671572

Doctor of Medicine (M.D.)

Dr. Emily Horn , DO

Student in an Organized Health Care Education/Training Program

NPI 1093400483

Doctor of Osteopathic Medicine (D.O.)

NPI 1144846635

Doctor of Osteopathic Medicine (D.O.)

Dr. Stuart Hannah , MD

Family Medicine

NPI 1164488839

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location November 15, 2024

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

📍
Updated Business Mailing Address November 15, 2024

Registered at 1700 TUTTLE ST, BARABOO, WI 539133319

NPI Profile Active June 24, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 24, 2015

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

📍
Updated Business Mailing Address June 24, 2015

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

👤
Provider Name / Credentials Updated June 24, 2015

Recorded as ELLEN BERGENDAHL

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

Pharmacist (License #17922-40 in WI)

🟢
Initial NPI Registration & Enumeration June 24, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

1700 Tuttle St

Baraboo, WI 539133319

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.