MARY A WENTZEL (NPI# 1083802987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083802987 |
| Entity Type | Individual |
| Full Name | MARY A WENTZEL |
| Credential | N.P. |
| Practice Address |
2451 Intelliplex Dr Ste 220 Shelbyville IN 46176-8581 |
| Mailing Address |
Po Box 710 Beech Grove IN 46107-0710 |
| Practice Telephone | 3178931900 |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2019-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 71002325A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200938960 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5330 E Stop 11 Rd, Indianapolis, IN 462376345 | 3178931900 | 3178931901 |
| Street Address |
2451 INTELLIPLEX DR STE 220 |
| City | SHELBYVILLE |
| State | IN |
| Zip Code | 46176-8581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043875180 | Usrc Mhp, LLC | Clinic/Center | 2460 Intelliplex Dr Ste 120, Shelbyville, IN 46176 | 2019-05-03 |
| 1679056899 | Debra Lynn Phillips | Counselor | 2434 E Sr 44, Shelbyville, IN 46176 | 2018-09-13 |
| 1083138762 | Megan Kari Battles | Specialist/Technologist | 3429 N 625 E, Shelbyville, IN 46176 | 2017-08-03 |
| 1336677046 | John Paul Bonvillian | Podiatrist | Major Hospital, 2451 Intelliplex Dr, Shelbyville, IN 46176 | 2017-05-24 |
| 1497202972 | Michael Neice | Non-emergency Medical Transport (VAN) | 4427 N Billman Estate, Shelbyville, IN 46176 | 2016-09-01 |
| 1972869923 | Joseph Moheban | General Practice | 1120 Spring Hill Dr., Shelbyville, IN 46176 | 2012-04-04 |
| 1548595440 | Patrick A Wagner Phd PC | Psychologist | 1253 North Deer Run E Drive, Shelbyville, IN 46176 | 2009-10-09 |
| 1740475326 | Assisted Living Concepts Inc | Assisted Living Facility | 2216 North Riley Highway, Shelbyville, IN 46176 | 2007-09-07 |
| 1073734711 | Katherine M Leugers | Counselor | 7 E Hendricks Street, Shelbyville, IN 46176 | 2007-05-01 |
| 1649394479 | Kay Lynne Zietlow | Pharmacist | 1412 Miller Avenue, Shelbyville, IN 46176 | 2007-03-19 |
| Find all providers in zip 46176 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801416649 | Bradley Michael Rund | Nurse Practitioner | 2154 Intelliplex Dr, Shelbyville, IN 46176-8547 | 2020-04-22 |
| 1891217527 | Anna Elizabeth Barrickman | Nurse Practitioner | 515 Hospital Dr Ste 1, Shelbyville, KY 40065-1619 | 2017-07-14 |
| 1588946156 | Denise Lorene Skinner | Nurse Practitioner | 2158 Intelliplex, Suite 200, Shelbyville, IN 46176-1236 | 2011-09-09 |
| 1124332861 | Kimberly Wright | Nurse Practitioner | 150 Frankfort Rd Ste 103, Shelbyville, KY 40065-7401 | 2010-08-05 |
| 1659601425 | Marguerite Dianne Davenport | Nurse Practitioner | 1660 Railroad Ave, Shelbyville, TN 37160-7408 | 2009-12-30 |
| 1447587894 | Ashley Ryan Mcfarland | Nurse Practitioner | 1612 N Main St Ste B, Shelbyville, TN 37160-2392 | 2009-11-05 |
| 1538309489 | Csd Medical Services | Nurse Practitioner | 18 Village Plz, Shelbyville, KY 40065-1745 | 2009-03-04 |
| 1043327729 | Anita S Philipose | Nurse Practitioner | 1303 N Main St Ste C, Shelbyville, TN 37160-2331 | 2006-08-25 |
| 1063468825 | Linda May Sewell-hauenstein | Nurse Practitioner | 311 Boone Station Road, Shelbyville, KY 40065-8592 | 2006-05-25 |
| 1912952813 | Cynthia M. Fister | Nurse Practitioner | 131 Stonecrest Rd, Suite 100, Shelbyville, KY 40065-9191 | 2006-05-23 |
| Find all providers in SHELBYVILLE | ||||
| City | SHELBYVILLE |
| Zip Code | 46176 |
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| 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.