| Winnmed Mabel Clinic | |
|
901 Montgomery St Decorah IA 52101-2325 | |
| (563) 382-2911 | |
| Not Available |
| Full Name | Winnmed Mabel Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 901 Montgomery St, Decorah, Iowa |
| Authorized Official Name and Position | Steven Robert Slessor (CAO) |
| Authorized Official Contact | 5633873145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Winnmed Mabel Clinic 114 Main St S Mabel MN 55954-9754 Ph: (507) 493-5115 | Winnmed Mabel Clinic 901 Montgomery St Decorah IA 52101-2325 Ph: (563) 382-2911 |
| NPI Number | 1093857393 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 06/29/2023 |
| Medicare PECOS PAC ID | 4688582935 |
|---|---|
| Medicare Enrollment ID | O20050502000593 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093857393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 960127H (Iowa) | Primary |
| Provider Name | Frank Cetta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306822549 PECOS PAC ID: 9931008570 Enrollment ID: I20040102000696 |
| Provider Name | Raul E Espinosa |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1366408106 PECOS PAC ID: 6002876414 Enrollment ID: I20041011000576 |
| Provider Name | Grace Lin |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1285608547 PECOS PAC ID: 8426008061 Enrollment ID: I20050131001027 |
| Provider Name | Jolanta M Durski |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1407820780 PECOS PAC ID: 5698720472 Enrollment ID: I20050315000151 |
| Provider Name | David A Foley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699751610 PECOS PAC ID: 3577502988 Enrollment ID: I20050426000678 |
| Provider Name | Kathy L Petersburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508860974 PECOS PAC ID: 9830155340 Enrollment ID: I20050502000670 |
| Provider Name | Ann E Grimstad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912901364 PECOS PAC ID: 5890755367 Enrollment ID: I20050524000230 |
| Provider Name | Nandan S Anavekar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760456453 PECOS PAC ID: 8224067434 Enrollment ID: I20050808001240 |
| Provider Name | Thomas A Foley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447220835 PECOS PAC ID: 3072543370 Enrollment ID: I20050816001163 |
| Provider Name | Mithri R Junna |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265405922 PECOS PAC ID: 1951335967 Enrollment ID: I20050920000523 |
| Provider Name | Joerg Herrmann |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295713253 PECOS PAC ID: 0042232282 Enrollment ID: I20051230000546 |
| Provider Name | Benjamin W Eidem |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306869433 PECOS PAC ID: 5496641052 Enrollment ID: I20060118000983 |
| Provider Name | Robert C Murphy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962482737 PECOS PAC ID: 1850306762 Enrollment ID: I20060214000574 |
| Provider Name | Hector Michelena |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861469744 PECOS PAC ID: 4688689300 Enrollment ID: I20060215000828 |
| Provider Name | Kristen Nanke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245248004 PECOS PAC ID: 0244204857 Enrollment ID: I20060217000309 |
| Provider Name | Adelaide M Arruda-olson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053388934 PECOS PAC ID: 2961417597 Enrollment ID: I20060217000324 |
| Provider Name | Jonathan N Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285648899 PECOS PAC ID: 0446253470 Enrollment ID: I20060814000078 |
| Provider Name | Geoffrey B Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346263407 PECOS PAC ID: 8224032669 Enrollment ID: I20060828000148 |
| Provider Name | Sunil V Mankad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912908401 PECOS PAC ID: 5294739298 Enrollment ID: I20060906000152 |
| Provider Name | Kirsten M Wyffels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275619223 PECOS PAC ID: 1557361482 Enrollment ID: I20061228000025 |
| Provider Name | Allison K Cabalka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720065220 PECOS PAC ID: 6800999079 Enrollment ID: I20070307000631 |
| Provider Name | Vuyisile T Nkomo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205808607 PECOS PAC ID: 9133223670 Enrollment ID: I20070322000540 |
| Provider Name | Farris K Timimi |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1063483436 PECOS PAC ID: 5698717643 Enrollment ID: I20070717000575 |
| Provider Name | Michael W Cullen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568589174 PECOS PAC ID: 2264523075 Enrollment ID: I20070808000755 |
| Provider Name | Paul Mckie |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1104945336 PECOS PAC ID: 8820181217 Enrollment ID: I20070830000267 |
| Provider Name | Timothy Morgenthaler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043282585 PECOS PAC ID: 3779664420 Enrollment ID: I20080118000490 |
| Provider Name | Wayne Miller |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1912986183 PECOS PAC ID: 3577655976 Enrollment ID: I20080314000302 |
| Provider Name | Erik K St Louis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922090851 PECOS PAC ID: 2264509439 Enrollment ID: I20080930000580 |
| Provider Name | Jeffrey B Geske |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689878746 PECOS PAC ID: 4789743154 Enrollment ID: I20081030000579 |
| Provider Name | Ayse Karagulle Kendi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235358615 PECOS PAC ID: 3779644166 Enrollment ID: I20081203000718 |
| Provider Name | Rebecca K Ameduri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861696569 PECOS PAC ID: 4688728116 Enrollment ID: I20090819000136 |
| Provider Name | Robert F Rea |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1689651689 PECOS PAC ID: 5597869800 Enrollment ID: I20090911000160 |
| Provider Name | Horng H Chen |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1073599320 PECOS PAC ID: 0941342331 Enrollment ID: I20100122000663 |
| Provider Name | Robert B Mccully |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811969827 PECOS PAC ID: 3577666189 Enrollment ID: I20100125000303 |
| Provider Name | Douglas A Collins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083689483 PECOS PAC ID: 0244257178 Enrollment ID: I20100125000396 |
| Provider Name | Panithaya Chareonthaitawee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730165770 PECOS PAC ID: 6103968474 Enrollment ID: I20100125000504 |
| Provider Name | Hon-chi Lee |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1477526101 PECOS PAC ID: 8628088317 Enrollment ID: I20100202000806 |
| Provider Name | Val Lowe |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1730166885 PECOS PAC ID: 8921141763 Enrollment ID: I20100202000819 |
| Provider Name | Donald J Hagler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942206016 PECOS PAC ID: 4587617386 Enrollment ID: I20100203000633 |
| Provider Name | Raymond R Auger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497725519 PECOS PAC ID: 0446265086 Enrollment ID: I20100203000899 |
| Provider Name | Eric J Olson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225000722 PECOS PAC ID: 1355485400 Enrollment ID: I20100212000673 |
| Provider Name | Patricia A Pellikka |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316926546 PECOS PAC ID: 6204827199 Enrollment ID: I20100216000578 |
| Provider Name | Titus C Evans |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437137213 PECOS PAC ID: 7214071935 Enrollment ID: I20100218000829 |
| Provider Name | Allan Jaffe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538146626 PECOS PAC ID: 8426192147 Enrollment ID: I20100218000890 |
| Provider Name | Garvan C Kane |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1346214509 PECOS PAC ID: 0244374965 Enrollment ID: I20100218000892 |
| Provider Name | Michael J Osborn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316927254 PECOS PAC ID: 0749325488 Enrollment ID: I20100304000993 |
| Provider Name | Mark A Nathan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992783369 PECOS PAC ID: 4688719131 Enrollment ID: I20100308000910 |
| Provider Name | Jae K Oh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366429946 PECOS PAC ID: 7214957315 Enrollment ID: I20100316000956 |
| Provider Name | Lyle J Olson |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1477525871 PECOS PAC ID: 0244331429 Enrollment ID: I20100324001186 |
| Provider Name | Daniel Borgeson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033183520 PECOS PAC ID: 7719940477 Enrollment ID: I20100605000186 |
| Provider Name | Tyler J Peterson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639328784 PECOS PAC ID: 7517081870 Enrollment ID: I20100824000773 |
| Provider Name | Bryan C Cannon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942380373 PECOS PAC ID: 2163592619 Enrollment ID: I20101013001232 |
| Provider Name | Stephen Broski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326282112 PECOS PAC ID: 1658566112 Enrollment ID: I20101109001584 |
| Provider Name | Thomas C Gerber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538156799 PECOS PAC ID: 5698803500 Enrollment ID: I20110114000171 |
| Provider Name | Jeremy Thaden |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295996296 PECOS PAC ID: 3971771577 Enrollment ID: I20110726000864 |
| Provider Name | Jason H Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336435270 PECOS PAC ID: 3274789052 Enrollment ID: I20120809000821 |
| Provider Name | Hayan Jouni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417278987 PECOS PAC ID: 7911155130 Enrollment ID: I20120913000266 |
| Provider Name | Paul G Wenner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023248614 PECOS PAC ID: 5092990374 Enrollment ID: I20121115000044 |
| Provider Name | Ian Chang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538451802 PECOS PAC ID: 1153559307 Enrollment ID: I20140114001507 |
| Provider Name | Philip L Wackel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982800645 PECOS PAC ID: 0345465183 Enrollment ID: I20140710001224 |
| Provider Name | Jared G Bird |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467898155 PECOS PAC ID: 9931341534 Enrollment ID: I20140904002002 |
| Provider Name | Jacob Jentzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538334628 PECOS PAC ID: 2567782261 Enrollment ID: I20150520001985 |
| Provider Name | Benjamin Nordhues |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336555135 PECOS PAC ID: 4082830666 Enrollment ID: I20150727001377 |
| Provider Name | Ross Avant |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801275128 PECOS PAC ID: 7719292275 Enrollment ID: I20160725002147 |
| Provider Name | Kathleen A Young |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184003089 PECOS PAC ID: 0042521700 Enrollment ID: I20160726000406 |
| Provider Name | Corrie R Bach |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023403672 PECOS PAC ID: 7719292093 Enrollment ID: I20160802002472 |
| Provider Name | Samantha Jo Mikota Reicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508208042 PECOS PAC ID: 6002043049 Enrollment ID: I20171222000516 |
| Provider Name | Carol L Ludeking |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891211967 PECOS PAC ID: 5294008355 Enrollment ID: I20190412000408 |
| Provider Name | Heather K Levinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215572268 PECOS PAC ID: 3971936618 Enrollment ID: I20200421000852 |
| Provider Name | Jena Marie Flak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982293726 PECOS PAC ID: 1456767615 Enrollment ID: I20210406002312 |
| Provider Name | Anna Mark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497249098 PECOS PAC ID: 1355698796 Enrollment ID: I20220315002132 |
| Provider Name | Sarah Wymer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649231622 PECOS PAC ID: 4082668629 Enrollment ID: I20220331000047 |
| Provider Name | Eric W Svestka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013203280 PECOS PAC ID: 7911152954 Enrollment ID: I20220401001847 |
| Provider Name | Paula Gill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750363909 PECOS PAC ID: 1557392883 Enrollment ID: I20220406001960 |
| Provider Name | Scott Bohner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447273495 PECOS PAC ID: 2961406756 Enrollment ID: I20221123001664 |
| Provider Name | Lisa Zittergruen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043446149 PECOS PAC ID: 2668621616 Enrollment ID: I20230217002507 |
| Provider Name | Jennifer M Schrandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346951332 PECOS PAC ID: 5193199917 Enrollment ID: I20230317002222 |
| Provider Name | Dominick A Siconolfi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255823415 PECOS PAC ID: 6709295314 Enrollment ID: I20230517002927 |
| Provider Name | Hannah Ingvalson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588284707 PECOS PAC ID: 7911368071 Enrollment ID: I20240411001006 |
| Provider Name | Arin Deering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548975014 PECOS PAC ID: 5991170805 Enrollment ID: I20240416003524 |
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