Individual provider Active NPI

William Wenstrom, ACNP

  • Acute Care Nurse Practitioner
  • Pascagoula, MS
National Provider Identifier
1013170653
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
851481 Issued in MS
Practice address
4300 Hospital St Ste 102
Pascagoula, MS 39581-5308
Phone
(228) 809-5110
Fax
(228) 372-8271
NPI assigned
Jul 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 851481 MS Primary

Addresses

Primary practice location

4300 Hospital St Ste 102
Pascagoula, MS 39581-5308

Mailing address

2101 Highway 90
Gautier, MS 39553-5340
Phone (228) 497-7576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080924000428 MS Practitioner - Nurse Practitioner 1658448287 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singing River Health SystemGroup PAC ID 3870405194, 290 clinicians

Practice addresses (Care Compare)

4300 Hospital St
Pascagoula, MS 39581-5306
Phone (228) 762-3000

Hospital & facility affiliations

  • Singing River Health System Hospital, Pascagoula, MS, CCN 250040
  • Singing River Gulfport Hospital, Gulfport, MS, CCN 250123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
851481MSMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Singing River Health System CurrentSince Mar 13, 2008 Accepting new patients
Singing River Health System Past Accepting new patients

Locations

1720A Medical Park Dr
Ste 220
Biloxi, MS 39532
Phone (228) 392-9355

10319 Diberville Blvd
Diberville, MS 39540
Phone (228) 395-2999

2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576

3603 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 762-3000

1199 Ocean Springs Rd
Ocean Springs, MS 39564
Phone (228) 875-9363

11 Doctors Dr
Ocean Springs, MS 39564
Phone (228) 266-2208

3615 Hospital St
Pascagoula, MS 39581
Phone (228) 762-3664

4300 Hospital St
Ste 102
Pascagoula, MS 39581
Phone (228) 372-8270

4211 Hospital St
Ste 202
Pascagoula, MS 39581
Phone (228) 372-8270

4300 Hospital St
Ste 105
Pascagoula, MS 39581
Phone (228) 474-4610

Interoperability endpoints

  • Direct secure messaging: wwenstrom@bienvilleortho.gwaydirect.com
  • Direct secure messaging: wwenstrom@landmarkhealth-direct.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1013170653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 HIGHWAY 90",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395535340",
            "telephone_number": "228-497-7576",
            "fax_number": "228-497-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 HOSPITAL ST STE 102",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815308",
            "telephone_number": "228-809-5110",
            "fax_number": "228-372-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENSTROM",
        "first_name": "WILLIAM",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "851481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

Verify at the official NPI Registry.