| Astera Health Wadena Clinic | |
|
421 11th St Nw Wadena MN 56482-1044 | |
| (218) 631-3510 | |
| Not Available |
| Full Name | Astera Health Wadena Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 421 11th St Nw, Wadena, Minnesota |
| Authorized Official Name and Position | Joel Beiswenger (CFO) |
| Authorized Official Contact | 2186311360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Astera Health Wadena Clinic 415 Jefferson St N Wadena MN 56482-1264 Ph: (218) 631-7501 | Astera Health Wadena Clinic 421 11th St Nw Wadena MN 56482-1044 Ph: (218) 631-3510 |
| NPI Number | 1134305162 |
|---|---|
| Provider Enumeration Date | 01/22/2008 |
| Last Update Date | 02/03/2023 |
| Medicare PECOS PAC ID | 2961395272 |
|---|---|
| Medicare Enrollment ID | O20040202001082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134305162 | NPI | - | NPPES |
| 754347600 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 334714 (Minnesota) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | 334714 (Minnesota) | Primary |
| Provider Name | Dawn M Dahlgren Roemmich |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548243173 PECOS PAC ID: 3779484373 Enrollment ID: I20040116000463 |
| Provider Name | Thom G Dahle |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760458673 PECOS PAC ID: 4688564081 Enrollment ID: I20040318001068 |
| Provider Name | Benjamin D Robertson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316011729 PECOS PAC ID: 7315932936 Enrollment ID: I20040414001810 |
| Provider Name | Rachael L Spear |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679655229 PECOS PAC ID: 3577559764 Enrollment ID: I20040422001269 |
| Provider Name | Douglas M Soderberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215997952 PECOS PAC ID: 1557358066 Enrollment ID: I20040427001347 |
| Provider Name | Jody Bolton Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306846076 PECOS PAC ID: 9234116880 Enrollment ID: I20040701001188 |
| Provider Name | Paul R Sander |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902918451 PECOS PAC ID: 4486626959 Enrollment ID: I20040806000546 |
| Provider Name | Randel T Stolee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730100959 PECOS PAC ID: 3375515539 Enrollment ID: I20040809000591 |
| Provider Name | Donald J Jurgens |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134105265 PECOS PAC ID: 3274500418 Enrollment ID: I20040915001205 |
| Provider Name | Wendy A Gravelle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306948245 PECOS PAC ID: 1759330202 Enrollment ID: I20050121000545 |
| Provider Name | Cheryl L Swenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184668576 PECOS PAC ID: 1355382649 Enrollment ID: I20050517000725 |
| Provider Name | Philip M Manger |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1699709089 PECOS PAC ID: 6507809118 Enrollment ID: I20050606000252 |
| Provider Name | Jamie Michael Pelzel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750340485 PECOS PAC ID: 9436186533 Enrollment ID: I20050720000652 |
| Provider Name | David C Nagel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023083805 PECOS PAC ID: 5294750311 Enrollment ID: I20051007000626 |
| Provider Name | Rebecca M Wirtz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619950292 PECOS PAC ID: 6608891585 Enrollment ID: I20051010000867 |
| Provider Name | Neil P Feist |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083644215 PECOS PAC ID: 0941228431 Enrollment ID: I20051103000220 |
| Provider Name | David A Stover |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932121597 PECOS PAC ID: 1759395957 Enrollment ID: I20060126000642 |
| Provider Name | Todd M Greatens |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518942150 PECOS PAC ID: 6204736143 Enrollment ID: I20060130000791 |
| Provider Name | Kurtis A Waters |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1568440717 PECOS PAC ID: 7810800539 Enrollment ID: I20060202000354 |
| Provider Name | Wade T Schmidt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629031190 PECOS PAC ID: 8820091986 Enrollment ID: I20060810000557 |
| Provider Name | Curtis L Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205883667 PECOS PAC ID: 4880697416 Enrollment ID: I20060821000094 |
| Provider Name | Gina M Risty |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679594469 PECOS PAC ID: 0941205629 Enrollment ID: I20061002000597 |
| Provider Name | Katie J Starns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750401428 PECOS PAC ID: 9032215546 Enrollment ID: I20070430000476 |
| Provider Name | Jacob R Dutcher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619000999 PECOS PAC ID: 4981795754 Enrollment ID: I20070808000365 |
| Provider Name | Joseph M Kreklau |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760566467 PECOS PAC ID: 3779583091 Enrollment ID: I20070828000495 |
| Provider Name | Kevin L Walters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770524035 PECOS PAC ID: 1153402896 Enrollment ID: I20080118000407 |
| Provider Name | Thomas P Van Bruggen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649387291 PECOS PAC ID: 7214907062 Enrollment ID: I20080122000350 |
| Provider Name | Bobbi Jo D Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629185251 PECOS PAC ID: 3375513120 Enrollment ID: I20080129000416 |
| Provider Name | Steve E Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699882001 PECOS PAC ID: 5395715148 Enrollment ID: I20080129000429 |
| Provider Name | Shaneen D Schmidt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265549075 PECOS PAC ID: 5294705042 Enrollment ID: I20080129000459 |
| Provider Name | Benjamin A Hess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992905475 PECOS PAC ID: 5698852721 Enrollment ID: I20080414000294 |
| Provider Name | Kathleen A Rieke |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396899449 PECOS PAC ID: 8729150180 Enrollment ID: I20080701000251 |
| Provider Name | Vali Orandi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407955479 PECOS PAC ID: 4082601240 Enrollment ID: I20080729000679 |
| Provider Name | Matthew J Spivey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790743268 PECOS PAC ID: 5597729616 Enrollment ID: I20080822000685 |
| Provider Name | Heidi G Olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487841037 PECOS PAC ID: 0648331496 Enrollment ID: I20081211000446 |
| Provider Name | Richard J Backes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871595686 PECOS PAC ID: 0648322750 Enrollment ID: I20090721000759 |
| Provider Name | Bernard R Erickson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306848122 PECOS PAC ID: 1456403468 Enrollment ID: I20090722000049 |
| Provider Name | Timothy N Schuchard |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114913217 PECOS PAC ID: 1456403476 Enrollment ID: I20090722000059 |
| Provider Name | Daniel James Tiede |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1306839949 PECOS PAC ID: 8628121514 Enrollment ID: I20090724000104 |
| Provider Name | Hieu J Nguyen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194710061 PECOS PAC ID: 8022162981 Enrollment ID: I20090812000596 |
| Provider Name | Ross J Anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285639138 PECOS PAC ID: 8921911785 Enrollment ID: I20090813000020 |
| Provider Name | John Michael Mahowald |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952303570 PECOS PAC ID: 0042364788 Enrollment ID: I20090814000589 |
| Provider Name | Matthew John Dammeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083838403 PECOS PAC ID: 8921177114 Enrollment ID: I20090826000426 |
| Provider Name | Kene Gina Ogbogu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447424247 PECOS PAC ID: 8123173572 Enrollment ID: I20090908000602 |
| Provider Name | Richard L Aplin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841284791 PECOS PAC ID: 6901944271 Enrollment ID: I20091105000598 |
| Provider Name | Mark E Johnson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568454502 PECOS PAC ID: 2466592191 Enrollment ID: I20091210000497 |
| Provider Name | Sheila K Gemar |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245206994 PECOS PAC ID: 4284775339 Enrollment ID: I20100111000808 |
| Provider Name | Julie M Meyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447226162 PECOS PAC ID: 8426190869 Enrollment ID: I20100122000195 |
| Provider Name | Joel C Shobe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619907011 PECOS PAC ID: 0042103863 Enrollment ID: I20100204000903 |
| Provider Name | David I Covington |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083689046 PECOS PAC ID: 9234266743 Enrollment ID: I20100414000719 |
| Provider Name | Stephen J Jameson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174598825 PECOS PAC ID: 9032246723 Enrollment ID: I20100429000297 |
| Provider Name | Hoang D Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033119342 PECOS PAC ID: 8426131806 Enrollment ID: I20100612000066 |
| Provider Name | Roman H Keller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982743159 PECOS PAC ID: 0941352868 Enrollment ID: I20100717000073 |
| Provider Name | Bonnie P Fines |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861492464 PECOS PAC ID: 7618050097 Enrollment ID: I20100717000141 |
| Provider Name | Bryan J Brindley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104826551 PECOS PAC ID: 0345323721 Enrollment ID: I20100717000163 |
| Provider Name | Stephen E Kuehne |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003816406 PECOS PAC ID: 3577476134 Enrollment ID: I20100717000227 |
| Provider Name | Kevin L Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194725424 PECOS PAC ID: 4789767161 Enrollment ID: I20100717000238 |
| Provider Name | John S Pate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891802211 PECOS PAC ID: 5597735340 Enrollment ID: I20101018000175 |
| Provider Name | Mark E Colliton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134147861 PECOS PAC ID: 7517150089 Enrollment ID: I20101018000594 |
| Provider Name | Patrick M Kern |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1689879728 PECOS PAC ID: 6608069828 Enrollment ID: I20101020001203 |
| Provider Name | Keith A Nelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225347792 PECOS PAC ID: 5698964146 Enrollment ID: I20110113001059 |
| Provider Name | Dylan G Folkestad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285868901 PECOS PAC ID: 0143419408 Enrollment ID: I20110118001125 |
| Provider Name | Amy L Severson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972597144 PECOS PAC ID: 4587845086 Enrollment ID: I20110216000627 |
| Provider Name | Lawrance C Merck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215192216 PECOS PAC ID: 5092848929 Enrollment ID: I20110321000626 |
| Provider Name | Nicole R Mercer Bolton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881890549 PECOS PAC ID: 5092993881 Enrollment ID: I20110627000264 |
| Provider Name | David A Kloss |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003842915 PECOS PAC ID: 6002009065 Enrollment ID: I20111028000429 |
| Provider Name | Alison J Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275832230 PECOS PAC ID: 8921265877 Enrollment ID: I20120203000240 |
| Provider Name | Chadd Mcmahon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972782951 PECOS PAC ID: 9032373907 Enrollment ID: I20120606000356 |
| Provider Name | Brad Douglas Hilger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639103146 PECOS PAC ID: 6204005598 Enrollment ID: I20120619000103 |
| Provider Name | Kevin M Mccann |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1942525670 PECOS PAC ID: 6608022348 Enrollment ID: I20120810000661 |
| Provider Name | Jerome Frazier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508066457 PECOS PAC ID: 5799957122 Enrollment ID: I20121024000051 |
| Provider Name | Nathaniel K Ronning |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093941858 PECOS PAC ID: 7810144797 Enrollment ID: I20130221000261 |
| Provider Name | Darrin John Spoden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598925539 PECOS PAC ID: 6800035783 Enrollment ID: I20130626000116 |
| Provider Name | Nathan B Danielson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467761130 PECOS PAC ID: 7517108491 Enrollment ID: I20130719000325 |
| Provider Name | Steven L Senica |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356419378 PECOS PAC ID: 5991867319 Enrollment ID: I20130726000610 |
| Provider Name | Jodi M Greenlaw |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144531732 PECOS PAC ID: 7214178680 Enrollment ID: I20130726000678 |
| Provider Name | Timothy Aaron Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134211568 PECOS PAC ID: 9739197567 Enrollment ID: I20130731000600 |
| Provider Name | Rachel Karen Redig |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144571308 PECOS PAC ID: 3274776141 Enrollment ID: I20130823001203 |
| Provider Name | Rose Ann Lorentz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629419700 PECOS PAC ID: 6406099118 Enrollment ID: I20130828000552 |
| Provider Name | Jeremy J Meyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316283963 PECOS PAC ID: 4789815978 Enrollment ID: I20140402000053 |
| Provider Name | Jonah H Luzier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124195235 PECOS PAC ID: 4981709284 Enrollment ID: I20140411001549 |
| Provider Name | Yaga Saine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053731752 PECOS PAC ID: 3476776576 Enrollment ID: I20140517000188 |
| Provider Name | Francis Xavier Kigozi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487819751 PECOS PAC ID: 2365685617 Enrollment ID: I20140527001558 |
| Provider Name | Leslie Anne Hartman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710150321 PECOS PAC ID: 7416112164 Enrollment ID: I20140619000750 |
| Provider Name | Ryan C Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629364971 PECOS PAC ID: 9436373958 Enrollment ID: I20140624000065 |
| Provider Name | Laura J Duchene |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205114469 PECOS PAC ID: 0345464897 Enrollment ID: I20140624001290 |
| Provider Name | Charles Snow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689745747 PECOS PAC ID: 4284804840 Enrollment ID: I20141015002408 |
| Provider Name | Alfredmy G Chessor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255312013 PECOS PAC ID: 2860546124 Enrollment ID: I20141023000373 |
| Provider Name | Matthew J Pitera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225097702 PECOS PAC ID: 9436111077 Enrollment ID: I20141121001827 |
| Provider Name | Robert Mead Levin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679654156 PECOS PAC ID: 0749505436 Enrollment ID: I20150223000809 |
| Provider Name | Timothy P Monson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740207281 PECOS PAC ID: 1850200239 Enrollment ID: I20150306001797 |
| Provider Name | Shelby Hunke |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1710379045 PECOS PAC ID: 0345567368 Enrollment ID: I20150331001456 |
| Provider Name | Richard Walter Pretorius |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013900505 PECOS PAC ID: 4688561517 Enrollment ID: I20150515000330 |
| Provider Name | Bill Chi Tran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598908873 PECOS PAC ID: 3870741978 Enrollment ID: I20150522000085 |
| Provider Name | Jamie L Udy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578842993 PECOS PAC ID: 5395066492 Enrollment ID: I20150601002716 |
| Provider Name | Eric John Chapman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003136839 PECOS PAC ID: 1052622974 Enrollment ID: I20150618002672 |
| Provider Name | Sharath S Subramanian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619047529 PECOS PAC ID: 6103956537 Enrollment ID: I20150623000954 |
| Provider Name | Brett Jon Glawe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548589054 PECOS PAC ID: 9133367501 Enrollment ID: I20150827003288 |
| Provider Name | Jessica Lynn Grimes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174844286 PECOS PAC ID: 5799927562 Enrollment ID: I20150831000060 |
| Provider Name | Brockston Anthony Spandl |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1255798138 PECOS PAC ID: 7911200654 Enrollment ID: I20160129000900 |
| Provider Name | Matthew B Singh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487029765 PECOS PAC ID: 9638473861 Enrollment ID: I20160209002539 |
| Provider Name | Costa Hanna Sousou |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225032857 PECOS PAC ID: 0244261592 Enrollment ID: I20160513000884 |
| Provider Name | Annette F Bartel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417393687 PECOS PAC ID: 8325276306 Enrollment ID: I20160518000361 |
| Provider Name | Benjamin Keith Johnson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255627790 PECOS PAC ID: 6305145129 Enrollment ID: I20160601001033 |
| Provider Name | Scott A Klettke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487965109 PECOS PAC ID: 2567754054 Enrollment ID: I20160701000039 |
| Provider Name | Brian M Stegman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1447425160 PECOS PAC ID: 9830314608 Enrollment ID: I20160721000888 |
| Provider Name | Kevin J Turneau |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427032572 PECOS PAC ID: 9032161609 Enrollment ID: I20170619001228 |
| Provider Name | Travis David Swartz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457639601 PECOS PAC ID: 3476825142 Enrollment ID: I20170816001884 |
| Provider Name | Richard A Conrad |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770986630 PECOS PAC ID: 2365463734 Enrollment ID: I20171101000119 |
| Provider Name | Carissa M Mitchell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1750774204 PECOS PAC ID: 5698092526 Enrollment ID: I20171226002058 |
| Provider Name | Kirsten G Crawford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992221907 PECOS PAC ID: 7517228026 Enrollment ID: I20180226001109 |
| Provider Name | Danny S Benjamin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386699494 PECOS PAC ID: 8921091265 Enrollment ID: I20180525001369 |
| Provider Name | Kelsey E Gelhaus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235559659 PECOS PAC ID: 3476858804 Enrollment ID: I20180702001587 |
| Provider Name | James R Dickinson |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1104192541 PECOS PAC ID: 5193020097 Enrollment ID: I20180716000629 |
| Provider Name | Sada R Aschnewitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184110561 PECOS PAC ID: 5799034724 Enrollment ID: I20180823002030 |
| Provider Name | Kasey A Theisen Sturm |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467803288 PECOS PAC ID: 8426345448 Enrollment ID: I20190702000944 |
| Provider Name | Steven Branch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922096551 PECOS PAC ID: 5092773226 Enrollment ID: I20190812000806 |
| Provider Name | Jeffrey W Wilder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164490611 PECOS PAC ID: 8224010905 Enrollment ID: I20190813003178 |
| Provider Name | Traci M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639723588 PECOS PAC ID: 2668700634 Enrollment ID: I20190829000243 |
| Provider Name | Alicia L Elliott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588044432 PECOS PAC ID: 8527399963 Enrollment ID: I20191016000017 |
| Provider Name | Kathryn L Hart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619423167 PECOS PAC ID: 0547694051 Enrollment ID: I20191216001720 |
| Provider Name | Shannon L Nord |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023351533 PECOS PAC ID: 0244478121 Enrollment ID: I20200320000819 |
| Provider Name | Matthew O Linback |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356375448 PECOS PAC ID: 9739510314 Enrollment ID: I20200514002361 |
| Provider Name | Michael A Hart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043606924 PECOS PAC ID: 9032417712 Enrollment ID: I20200601001670 |
| Provider Name | Bonnie M Gustafson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326663733 PECOS PAC ID: 2961828769 Enrollment ID: I20200811002010 |
| Provider Name | Matthew J Cary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669098661 PECOS PAC ID: 3678999539 Enrollment ID: I20200821002714 |
| Provider Name | Kayli M Muckenhirn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932713393 PECOS PAC ID: 2163832015 Enrollment ID: I20201103002705 |
| Provider Name | Lauren Phyllis Loe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831613942 PECOS PAC ID: 1557627205 Enrollment ID: I20201106000724 |
| Provider Name | Alyssa Jane Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487266078 PECOS PAC ID: 5799195285 Enrollment ID: I20201112001433 |
| Provider Name | Stanley Hahn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619977758 PECOS PAC ID: 0648210898 Enrollment ID: I20210125002030 |
| Provider Name | Cady A Horning |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013508902 PECOS PAC ID: 1850700915 Enrollment ID: I20210503001183 |
| Provider Name | Gates Cook |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851748834 PECOS PAC ID: 3375944523 Enrollment ID: I20210625001873 |
| Provider Name | Stephen K Kidd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477816304 PECOS PAC ID: 6901024777 Enrollment ID: I20210708002787 |
| Provider Name | Scott W Syverson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972093649 PECOS PAC ID: 8820492440 Enrollment ID: I20210804001737 |
| Provider Name | Craig A Meiers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154700201 PECOS PAC ID: 3678867587 Enrollment ID: I20210813000870 |
| Provider Name | Megan Janeen Mccormick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154770410 PECOS PAC ID: 5698170926 Enrollment ID: I20210824002272 |
| Provider Name | John M Lindblom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649764812 PECOS PAC ID: 6103173950 Enrollment ID: I20210921000220 |
| Provider Name | Cassondra Opatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467021147 PECOS PAC ID: 0941693436 Enrollment ID: I20220204001251 |
| Provider Name | Ashley A Steen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053079350 PECOS PAC ID: 7810381845 Enrollment ID: I20220308001151 |
| Provider Name | Ryan Greene |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104231505 PECOS PAC ID: 2668691700 Enrollment ID: I20220316002584 |
| Provider Name | Julie Anne Johannsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669644753 PECOS PAC ID: 7517353949 Enrollment ID: I20220411002057 |
| Provider Name | Stephan Max Becker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063678795 PECOS PAC ID: 2062660921 Enrollment ID: I20220524002619 |
| Provider Name | Jeri S Plaxco |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265590210 PECOS PAC ID: 8729130828 Enrollment ID: I20220525001298 |
| Provider Name | Daniel L Measel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700864055 PECOS PAC ID: 7911981881 Enrollment ID: I20220525001449 |
| Provider Name | Ethan T Kraft |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316471386 PECOS PAC ID: 0244599587 Enrollment ID: I20220614000484 |
| Provider Name | Alisha F Lindberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508353327 PECOS PAC ID: 5991053993 Enrollment ID: I20220719002409 |
| Provider Name | Jolene J Breth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598498115 PECOS PAC ID: 6507249828 Enrollment ID: I20220819001069 |
| Provider Name | John J Fox |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710430301 PECOS PAC ID: 0749553857 Enrollment ID: I20221102001740 |
| Provider Name | Jesse Kavi-raj Sinanan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144630823 PECOS PAC ID: 2466679626 Enrollment ID: I20221103001054 |
| Provider Name | Blake Saltaformaggio |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285875260 PECOS PAC ID: 2860610375 Enrollment ID: I20221129001167 |
| Provider Name | Allison Jane Freese Johnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1053034892 PECOS PAC ID: 1052781481 Enrollment ID: I20221229002455 |
| Provider Name | Goldwyn Foggie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013925387 PECOS PAC ID: 0547366288 Enrollment ID: I20221230002242 |
| Provider Name | Christopher R Welander |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619405016 PECOS PAC ID: 4486921855 Enrollment ID: I20230112000430 |
| Provider Name | Daniel S Crawley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326260191 PECOS PAC ID: 4082784467 Enrollment ID: I20230208001119 |
| Provider Name | Bipin Rajendran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417215732 PECOS PAC ID: 8820239239 Enrollment ID: I20230303000870 |
| Provider Name | Frederick T Warner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164462420 PECOS PAC ID: 1658360771 Enrollment ID: I20230613000697 |
| Provider Name | Paige J Selvey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295298461 PECOS PAC ID: 3274913686 Enrollment ID: I20230720000784 |
| Provider Name | Juliette E Power |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194102806 PECOS PAC ID: 2860780467 Enrollment ID: I20230804002654 |
| Provider Name | Hala Madi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447635941 PECOS PAC ID: 7618277187 Enrollment ID: I20230810002151 |
| Provider Name | James Cunningham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154522738 PECOS PAC ID: 3375793177 Enrollment ID: I20230906000774 |
| Provider Name | Shawn A Stafki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376163550 PECOS PAC ID: 0244653335 Enrollment ID: I20231101000378 |
| Provider Name | Alicia J Moren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710767694 PECOS PAC ID: 8820445158 Enrollment ID: I20231108002433 |
| Provider Name | Toritsetimiyin M E-nunu |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083027189 PECOS PAC ID: 3072961697 Enrollment ID: I20231121000340 |
| Provider Name | Kelley D Babcock |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528387198 PECOS PAC ID: 6204184690 Enrollment ID: I20240108005044 |
| Provider Name | Jennifer Lynn Thalmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598490930 PECOS PAC ID: 4486017324 Enrollment ID: I20240123000699 |
| Provider Name | Michaela B Rausch |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1740912559 PECOS PAC ID: 8527404771 Enrollment ID: I20240309000670 |
Hands With Heart Midwifery Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Jefferson St S, Wadena, MN 56482 Phone: 218-640-2647 Fax: 218-461-4558 | |
Wadena Medical Center, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Deerwood Ave Nw, Wadena, MN 56482 Phone: 218-631-1360 Fax: 218-631-7571 | |
Astera Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Deerwood Ave Nw, Wadena, MN 56482 Phone: 218-631-1360 |