Nichole E Wiepert (NPI# 1871735290, PAC ID# 3870735491) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1871735290 |
| PAC ID by PECOS | 3870735491 |
| Professional Enrollment ID | I20130812000337 |
| Full Name | Nichole E Wiepert |
| Organization Legal Name | PRAIRIE POINT OB AND GYN, LTD |
| Address |
1675 Bethany Rd Suite C Sycamore IL 60178-3160 |
| Phone Number | 8158998080 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 7810901667 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140242 | CENTRAL DUPAGE HOSPITAL |
| 140286 | KISHWAUKEE COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1675 Bethany Rd, Suite C, Sycamore, IL 60178-3160 | 8158998080 | PRAIRIE POINT OB AND GYN, LTD |
| Organization Legal Name | PRAIRIE POINT OB AND GYN, LTD |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chantal A Manhart | Nurse Practitioner | Prairie Point Ob and Gyn, Ltd | 1675 Bethany Rd, Suite C, Sycamore, IL 60178-3160 |
| Bryan Mitchell Kruskol | Obstetrics/gynecology | Prairie Point Ob and Gyn, Ltd | 1675 Bethany Rd, Suite C, Sycamore, IL 60178-3160 |
| Paul Anton Dubrick | Obstetrics/gynecology | Prairie Point Ob and Gyn, Ltd | 1675 Bethany Rd, Suite C, Sycamore, IL 60178-3160 |
| Street Address |
1675 BETHANY RD SUITE C |
| City | SYCAMORE |
| State | IL |
| Zip | 60178-3160 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chantal A Manhart | Nurse Practitioner | Prairie Point Ob and Gyn, Ltd | 1675 Bethany Rd, Suite C, Sycamore, IL 60178-3160 |
| Bryan Mitchell Kruskol | Obstetrics/gynecology | Prairie Point Ob and Gyn, Ltd | 1675 Bethany Rd, Suite C, Sycamore, IL 60178-3160 |
| Todd M Anderson | Maxillofacial Surgery | Oral and Maxillofacial Surgeons for Northern Illinois | 1675 Bethany Rd, Suite A, Sycamore, IL 60178-3160 |
| Paul Anton Dubrick | Obstetrics/gynecology | Prairie Point Ob and Gyn, Ltd | 1675 Bethany Rd, Suite C, Sycamore, IL 60178-3160 |
| David M Junck | Maxillofacial Surgery | Oral and Maxillofacial Surgeons for Northern Illinois | 1675 Bethany Rd, Suite A, Sycamore, IL 60178-3160 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy J Ruetten | Family Medicine | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Elaine Lawrence | Nurse Practitioner | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Kristin A Mock | Family Medicine | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Ketan Morker | Family Medicine | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Odolina Pope | Nurse Practitioner | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Mark A Drendel | Family Medicine | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Heather Marvin | Nurse Practitioner | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Michael William Thornton | Family Medicine | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Catherine A Ruetten | Family Medicine | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Cheri L Sprietler | Nurse Practitioner | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Find all physicians in zip 60178 | |||
| City | SYCAMORE |
| Zip Code | 60178 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | SYCAMORE + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Nichole E Wiepert.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.