Abby E Wagstrom (NPI# 1366827552, PAC ID# 4688989346) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1366827552 |
| PAC ID by PECOS | 4688989346 |
| Professional Enrollment ID | I20150811003678 |
| Full Name | Abby E Wagstrom |
| Organization Legal Name | HEALTHEAST MEDICAL RESEARCH INSTITUTE |
| Address |
1825 Woodwinds Dr Woodbury MN 55125-2202 |
| Phone Number | 6512326700 |
| Gender | F |
| Medical School | UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3971407636 |
| Number of Group Practice Members | 491 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240063 | ST JOSEPH'S HOSPITAL |
| 240213 | HEALTHEAST WOODWINDS HOSPITAL |
| 240210 | HEALTHEAST ST JOHN'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1825 Woodwinds Dr, Woodbury, MN 55125-2202 | 6512326700 | HEALTHEAST MEDICAL RESEARCH INSTITUTE |
| Organization Legal Name | HEALTHEAST MEDICAL RESEARCH INSTITUTE |
| Physicians | 507 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara Elizabeth Jennerjohn | Certified Nurse Midwife (cnm) | Healtheast Medical Research Institute | 2680 N Snelling Ave, Suite 200, Roseville, MN 55113-1876 |
| Admatha Muthyala Winfred | Hospitalist | Healtheast Medical Research Institute | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Soua Vang | Physician Assistant | Healtheast Medical Research Institute | 1983 Sloan Pl, Suite 1, Saint Paul, MN 55117-2095 |
| Abby Jean Mohr | Physician Assistant | Healtheast Medical Research Institute | 1700 University Ave W, Saint Paul, MN 55104-3727 |
| Elizabeth R Lehner | Pediatric Medicine | Healtheast Medical Research Institute | 9900 Tamarack Rd, Woodbury, MN 55125-3609 |
| Heather Bacon | Certified Nurse Midwife | Healtheast Medical Research Institute | 3100 Kennard St, Suite 100, Maplewood, MN 55109-4569 |
| Erica Bowen | Family Medicine | Healtheast Medical Research Institute | 14688 Everton Ave, Suite 101, Hugo, MN 55038-6051 |
| Michael E Fried | Clinical Social Worker | Healtheast Medical Research Institute | 1055 Centerville Cir, Vadnais Heights, MN 55127-5033 |
| Sarah K Hallman | Certified Nurse Midwife (cnm) | Healtheast Medical Research Institute | 1925 Woodwinds Dr, Woodbury, MN 55125-4445 |
| Thomas W Brink | Internal Medicine | Healtheast Medical Research Institute | 17 W Exchange St, Suite 835, Saint Paul, MN 55102-1226 |
| Street Address |
1825 WOODWINDS DR |
| City | WOODBURY |
| State | MN |
| Zip | 55125-2202 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia A Carroll | Occupational Therapy | Healtheast Outpatient Services, LLC | 1825 Woodwinds Dr, Woodbury, MN 55125-2202 |
| Annaliese P Miller | Physical Therapy | Healtheast Outpatient Services, LLC | 1825 Woodwinds Dr, Woodbury, MN 55125-2202 |
| Alisse J Zignego | Physical Therapy | Healtheast Outpatient Services, LLC | 1825 Woodwinds Dr, Woodbury, MN 55125-2202 |
| Johnathan D Cicchese | Physical Therapy | Healtheast Outpatient Services, LLC | 1825 Woodwinds Dr, Woodbury, MN 55125-2202 |
| Michael Wangsness | Physical Therapy | Healtheast Outpatient Services, LLC | 1825 Woodwinds Dr, Woodbury, MN 55125-2202 |
| Jennifer L Bell | Physical Therapy | Healtheast Outpatient Services, LLC | 1825 Woodwinds Dr, Woodbury, MN 55125-2202 |
| Kelsey Harms | Physical Therapy | Healtheast Outpatient Services, LLC | 1825 Woodwinds Dr, Woodbury, MN 55125-2202 |
| Emily H Henrich | Physical Therapy | Healtheast Outpatient Services, LLC | 1825 Woodwinds Dr, Woodbury, MN 55125-2202 |
| Alexander O Mccabe | Physical Therapy | Healtheast Outpatient Services, LLC | 1825 Woodwinds Dr, Woodbury, MN 55125-2202 |
| Gail M Smida | Physical Therapy | Healtheast Outpatient Services, LLC | 1825 Woodwinds Dr, Woodbury, MN 55125-2202 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kassia E Coleman | Clinical Social Worker | Better Outlook LLC | 6053 Hudson Rd, Suite 220, Woodbury, MN 55125-1000 |
| Elvis T Starllone | Nurse Practitioner | Better Outlook LLC | 6053 Hudson Rd, Suite 220, Woodbury, MN 55125-1000 |
| Dasherline Cox Johnson | Psychologist, Clinical | 6043 Hudson Rd, Suite 355, Woodbury, MN 55125-1017 | |
| Rosella Collins Puoch | Clinical Social Worker | 6043 Hudson Rd, Woodbury, MN 55125-1020 | |
| Kaitlin D Buckner | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Rebekah J Wilson | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Victoria M Elmer | Addiction Medicine | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Shelley R Stepan | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Richard P Lamon | Addiction Medicine | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Kelly J Adams | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Find all physicians in zip 55125 | |||
| City | WOODBURY |
| Zip Code | 55125 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WOODBURY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Abby E Wagstrom.
| 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.