Individual provider Active NPI

Wendy Sue Paca, RN, MSN, ARNP

  • Nurse Practitioner
  • Webster City, IA
National Provider Identifier
1043201601
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
J-090609 Issued in IA
Practice address
510 Bank St
Webster City, IA 50595-2204
Phone
(515) 832-6700
Fax
(515) 832-3534
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X J-090609 IA Primary

Addresses

Primary practice location

510 Bank St
Webster City, IA 50595-2204

Mailing address

510 Bank St
Webster City, IA 50595-2204
Phone (515) 832-6700

Other identifiers 1

IdentifierTypeStateIssuer
0423939MedicaidIA

Other names 1

  • Wendy Sue Klesel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
J-090609IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McFarland Clinic, PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344211200000",
    "number": "1043201601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 BANK ST",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505952204",
            "telephone_number": "515-832-6700",
            "fax_number": "515-832-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 BANK ST",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505952204",
            "telephone_number": "515-832-6700",
            "fax_number": "515-832-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACA",
        "first_name": "WENDY",
        "middle_name": "SUE",
        "credential": "RN, MSN, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2012-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "J-090609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0423939",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "KLESEL",
            "middle_name": "SUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Webster City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.