ELLEN T WENGERT (NPI# 1043612310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043612310 |
| Entity Type | Individual |
| Full Name | ELLEN T WENGERT |
| Credential | NP-C |
| Practice Address |
705 N Sioux Point Rd Suite 100 Dakota Dunes SD 57049-5091 |
| Practice Telephone | 6052175500 |
| Practice Fax Number | 6052175515 |
| Mailing Telephone | 6052175500 |
| Mailing Fax Number | 6052175515 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CP000911 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
A070238 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
705 N SIOUX POINT RD SUITE 100 |
| City | DAKOTA DUNES |
| State | SD |
| Zip Code | 57049-5091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417951161 | Keith A. Vollstedt | Surgery | 705 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049-5091 | 2005-06-10 |
| 1295109478 | Emily Jean Kruse | Physician Assistant | 705 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049-5091 | 2015-11-25 |
| 1720416563 | Crystal M Oberle | Physician Assistant | 705 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049 | 2013-10-14 |
| 1225332463 | Molly E Schooley | Physician Assistant | 705 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049-5091 | 2011-01-03 |
| 1760612964 | Mark N Abraham | Surgery | 705 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049-5091 | 2009-07-22 |
| 1003079773 | Inderjit Chabra | Dermatology | 705 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049-5091 | 2008-07-03 |
| 1962622431 | Jeffrey P Michalak | Internal Medicine | 705 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049-5091 | 2007-04-26 |
| 1063508331 | Craig Robert Nemechek | Surgery | 705 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049-5091 | 2006-10-05 |
| 1649364894 | Midlands Clinic, P.C. | Specialist | 705 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049-5091 | 2006-10-03 |
| 1649264649 | Lawrence Thomas Volz | Surgery | 705 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049-5091 | 2005-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093356800 | Dennis Alan Bickett | Physical Therapist | 365 W Anchor Drive, North Sioux City, SD 57049 | 2019-10-02 |
| 1053872416 | Ryan Joel Anderson | Nurse Anesthetist, Certified Registered | Address: 101 Tower Rd, Suite 201, Dakota Dunes, SD 57049 | 2019-03-28 |
| 1043769656 | Jeffrey L Howenstein Dmd Ms PC | Dentist | 711 Sioux Point Rd., Ste. 100, Dakota Dunes, SD 57049 | 2016-09-23 |
| 1821445206 | Abbie A Gacke | Speech-Language Pathologist | 101 Tower Rd Ste 120, Dakota Dunes, SD 57049 | 2016-05-16 |
| 1346606233 | Seth Wolles | Specialist/Technologist | 575 Sioux Point Rd, Dakota Dunes, SD 57049 | 2016-01-07 |
| 1598188252 | Hanger Prosthetics & Orthotics East Inc | Prosthetic/Orthotic Supplier | 330 Dakota Dunes Blvd Ste 150, Dakota Dunes, SD 57049 | 2014-01-30 |
| 1932220217 | Campbell Chiropractic Clinic PC | Chiropractor | 118 Gateway Dr, N. Sioux City, SD 57049 | 2007-04-03 |
| 1912048687 | North Sioux Dental Clinic | Dentist | 101 Merrill Ave., North Sioux City, SD 57049 | 2007-02-08 |
| 1346322716 | Donald B Cork Jr. | Dentist | 101 Merrill Ave, North Sioux City, SD 57049 | 2006-10-19 |
| 1265514681 | Bethany R Nielsen | Dentist | 101 Merrill Ave, Box 1010, North Sioux City, SD 57049 | 2006-10-19 |
| Find all providers in zip 57049 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999411 | Tara Liddiard | Nurse Practitioner | 455 N Sioux Point Rd, Dakota Dunes, SD 57049-5327 | 2020-10-15 |
| 1356827968 | Maria A Azpeitia | Nurse Practitioner | 101 Tower Rd Ste 120, Dakota Dunes, SD 57049-5011 | 2018-07-17 |
| 1912491259 | Carey Ann Baczwaski | Nurse Practitioner | 101 Tower Rd Ste 103, Dakota Dunes, SD 57049-5007 | 2018-06-20 |
| 1780194654 | Faith Ivana Schiltz | Nurse Practitioner | 705 N Sioux Point Rd Ste 100, Dakota Dunes, SD 57049-5091 | 2017-10-05 |
| 1407375736 | Chad Paul Millikan | Nurse Practitioner | 455 N Sioux Point Rd, Dakota Dunes, SD 57049-5327 | 2017-09-19 |
| 1548627375 | Kellie Crowl | Nurse Practitioner | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2016-01-25 |
| 1770969164 | Brittany N Anderson | Nurse Practitioner | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2015-08-07 |
| 1659780278 | Jessica Lee Bowman | Nurse Practitioner | 101 Tower Rd, Suite 120, Dakota Dunes, SD 57049-5007 | 2014-08-07 |
| 1316389497 | Shannon Leah Stewart | Nurse Practitioner | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2013-07-18 |
| 1275885758 | Meredith L Hunhoff | Nurse Practitioner | 101 Tower Rd Ste 103, Dakota Dunes, SD 57049-5007 | 2012-10-09 |
| Find all providers in DAKOTA DUNES | ||||
| City | DAKOTA DUNES |
| Zip Code | 57049 |
Please comment or provide details below to improve the information on ELLEN T WENGERT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.