STEPHANIE R WELLE (NPI# 1700107307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700107307 |
| Entity Type | Individual |
| Full Name | STEPHANIE R WELLE |
| Other Name | STEPHANIE R KRUPKE |
| Credential | CNS |
| Practice Address |
1015 Marsh St Mankato MN 56001-4752 |
| Mailing Address |
1025 Marsh St Mankato MN 56001-4752 |
| Practice Telephone | 5073854700 |
| Mailing Telephone | 5076254031 |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2020-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 210 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364S00000X | Clinical Nurse Specialist | R174062-8 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1015 MARSH ST |
| City | MANKATO |
| State | MN |
| Zip Code | 56001-4752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598757411 | Chad L Buhs | Specialist | 1015 Marsh St, Mankato, MN 56001-4752 | 2005-08-17 |
| 1609353655 | Lisa Marie Brown | Midwife | 1015 Marsh St, Mankato, MN 56001 | 2018-07-23 |
| 1265890412 | Theresa Mcgowan | Nurse Practitioner | 1015 Marsh St, Mankato, MN 56001-4752 | 2016-02-03 |
| 1750665576 | Tammy Lynn Baker | Physician Assistant | 1015 Marsh St, Mankato, MN 56001-4752 | 2011-09-29 |
| 1578850681 | Sonal Grover | Obstetrics & Gynecology | 1015 Marsh St, Mankato, MN 56001 | 2011-07-09 |
| 1932494994 | Anthony M Burrows | Neurological Surgery | 1015 Marsh St, Mankato, MN 56001-4752 | 2011-06-17 |
| 1992090385 | Meghan E Murphy | Neurological Surgery | 1015 Marsh St, Mankato, MN 56001-4752 | 2011-06-14 |
| 1417276155 | Katie Elizabeth Kendhammer | Audiologist | 1015 Marsh St, Mankato, MN 56001-4752 | 2010-05-20 |
| 1295050185 | Sarah Jane Krenik-hoffmann | Speech-Language Pathologist | 1015 Marsh St, Mankato, MN 56001-4752 | 2010-04-02 |
| 1649408543 | Robert Freed | Orthopaedic Surgery | 1015 Marsh St, Mankato, MN 56001 | 2009-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
| 1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
| 1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
| 1093377871 | Lindsey Keithahn | Counselor | 2100 Bassett Drive, Mankato, MN 56001 | 2019-07-02 |
| 1255803813 | Amy Marie Williams | Acupuncturist | 709 S. Front Street, Suite 5, Mankato, MN 56001 | 2018-12-20 |
| 1518437573 | Ashley Blanchard | Acupuncturist | Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 | 2018-12-03 |
| 1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
| 1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
| 1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
| 1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
| Find all providers in zip 56001 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578577953 | Nancy Menzel | Clinical Nurse Specialist | 15 S Pilot Ct, Mankato, MN 56001-4127 | 2006-07-28 |
| 1457819591 | Kari Jeane Mongeon Wahlen | Clinical Nurse Specialist | 1025 Marsh St, Mankato, MN 56001-4752 | 2019-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255761821 | Karen Mary Gmitro Prieto | Clinical Nurse Specialist | 913 E 26th St # 401, Minneapolis, MN 55404-4515 | 2013-11-19 |
| 1942642681 | Jean Vaneps | Clinical Nurse Specialist | 708 Division St, Deer River, MN 56636-8706 | 2013-07-23 |
| 1174745715 | Susan M Karnitz | Clinical Nurse Specialist | 1575 Beam Avenue, Maplewood, MN 55109 | 2007-05-03 |
| 1598805079 | Marybeth L O Neil | Clinical Nurse Specialist | 2100 Campus Dr Se, Rochester, Rochester, MN 55904-4831 | 2007-02-07 |
| 1700955366 | Geropsych Health Services, Inc. | Clinical Nurse Specialist | 611 Spruce Grove Ln Nw, Bemidji, MN 56601-7746 | 2006-11-07 |
| 1912008152 | Molly S Fritz-beckers | Clinical Nurse Specialist | Range Mental Health Center Perpich Building, 3203 W 3rd Ave, Hibbing, MN 55746 | 2006-09-26 |
| 1407866510 | Saunda St Martin | Clinical Nurse Specialist | 24760 Hospital Drive, Redlake, MN 56671 | 2006-08-09 |
| 1417901109 | Jodie Duntley | Clinical Nurse Specialist | 701 Park Ave # S1, Minneapolis, MN 55415-1623 | 2006-05-19 |
| 1992766869 | Gay M Bartholic | Clinical Nurse Specialist | 2345 Ariel Street N - Mail Stop 13601a, Healthpartners Regions Behavioral Health - Maplewood, Maplewood, MN 55109-2248 | 2006-03-30 |
| 1902873557 | Sidney Charles Guthrie IIi | Clinical Nurse Specialist | 640 Jackson St # Ms 11102u, Saint Paul, MN 55101-2502 | 2006-03-02 |
| Find all providers with the same taxonomy | ||||
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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.