Theresa Lynn Wendt, APNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3968-033 Issued in WI

Practice address

8136 S Mission Dr
Franklin, WI 53132-2353

Phone

(414) 861-4875

Fax

(414) 427-9711

NPI assigned

Oct 1, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Theresa Lynn Wendt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Universal Pain Center SC

  • Pain Clinic/Center
  • Milwaukee, WI
  • NPI 1689051799
  NPD (past)

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1013226497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001W NORTH AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532131527",
            "telephone_number": "414-771-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8136 S MISSION DR",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531322353",
            "telephone_number": "414-861-4875",
            "fax_number": "414-427-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDT",
        "first_name": "THERESA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "APNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-01",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "3968-033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "WENDT",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mackenzie Wanta, MS, RD, CD
• Samantha Warzala
• Kayla Weber
• Dylan Webster, PHARM D
• Debra Marie Wencka, RN/RCS
• Kaden West
• Wheaton Franciscan Healthcare - Franklin, Inc.
• Wheaton Franciscan Medical Group
• Whitnall Dental
• Charles A Wideburg, M.D.

• Nurse Practitioner in Franklin, WI
• Providers in Franklin, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.