VIRGINIA CLARE WRIGLEY (NPI# 1942835582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942835582 |
| Entity Type | Individual |
| Full Name | VIRGINIA CLARE WRIGLEY |
| Credential | AGACNP |
| Practice Address |
621 Memorial Dr Ste 502 South Bend IN 46601-1075 |
| Mailing Address |
710 N Niles Ave South Bend IN 46617-1924 |
| Practice Telephone | 5746475875 |
| Mailing Telephone | 5746471610 |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 71009783A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
71009783A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300036017 | 05 | |
| IN | MEDICARE PTAN | 236040335 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 East Blvd, Elkhart, IN 465142499 | 5742942621 |
| Street Address |
621 MEMORIAL DR STE 502 |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46601-1075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538136361 | Mark A Thompson | Surgery | 621 Memorial Dr Ste 502, South Bend, IN 46601-1075 | 2006-03-01 |
| 1447721105 | Daniela M Edson | Nurse Practitioner | 621 Memorial Dr Ste 502, South Bend, IN 46601-1075 | 2018-12-06 |
| 1548777295 | Lourine Garcia | Nurse Practitioner | 621 Memorial Dr Ste 502, South Bend, IN 46601-1075 | 2018-01-03 |
| 1174927131 | Beacon Medical Group, Inc. | Surgery | 621 Memorial Dr Ste 502, South Bend, IN 46601-1075 | 2014-10-20 |
| 1326459108 | Katherine Delayne Goze | Surgery | 621 Memorial Dr Ste 502, South Bend, IN 46601-1075 | 2014-05-14 |
| 1821314360 | Justin Jacob Koenig | Surgery | 621 Memorial Dr Ste 502, South Bend, IN 46601 | 2010-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
| 1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| Find all providers in zip 46601 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548777295 | Lourine Garcia | Nurse Practitioner | 621 Memorial Dr Ste 502, South Bend, IN 46601-1075 | 2018-01-03 |
| 1265951578 | Erin Elizabeth Rissler | Nurse Practitioner | 621 Memorial Dr Ste 512, South Bend, IN 46601-1075 | 2017-09-18 |
| 1720388937 | Nanette M Monhaut | Nurse Practitioner | 615 N Michigan St, South Bend, IN 46601-1033 | 2010-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1811559321 | Natalie Dawn Coleman | Nurse Practitioner | 537 Marion St, Mitchell, IN 47446-1026 | 2019-07-03 |
| 1225592843 | Kaitlyn Tinius | Nurse Practitioner | 1115 Ronald Reagan Pkwy Ste 171, Avon, IN 46123-6914 | 2019-01-28 |
| 1760953533 | Jeanetta Carol Conway | Nurse Practitioner | 8368 Helmsley Ct, Fishers, IN 46038-4430 | 2018-12-05 |
| 1366918104 | Irina Kochersperger | Nurse Practitioner | 4972 Lincoln Ave Ste 101, Evansville, IN 47715-7909 | 2018-10-19 |
| 1780160069 | Cara Crone | Nurse Practitioner | 8402 Harcourt Rd Ste 500, Indianapolis, IN 46260-2054 | 2018-07-19 |
| 1376051607 | Bethann Pradny | Nurse Practitioner | 5125 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2018-01-22 |
| 1710415559 | Joseph K Muriithi | Nurse Practitioner | 515 Park Place Cir Ste 200, Mishawaka, IN 46545-3585 | 2017-05-24 |
| 1689129645 | Casie Stevens | Nurse Practitioner | 1701 Senate Blvd Ste 238, Indianapolis, IN 46202-1239 | 2016-08-19 |
| 1700239175 | Melissa Lorenz | Nurse Practitioner | 301 Gordon Gutmann Blvd Ste 301, Jeffersonville, IN 47130-3767 | 2016-07-20 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46601 |
Please comment or provide details below to improve the information on VIRGINIA CLARE WRIGLEY.
| 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.