Patrick Wichmann, FNP
Individual provider Active NPI Family Nurse Practitioner · Bagley, MN
NPI 1134611544 · NPPES record last updated Apr 18, 2022
Key facts
- NPI
- 1134611544
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 6046 (MN)
- Practice address
- 203 4TH St NW
Bagley, MN 56621 - Phone
- (218) 694-6501
- NPI assigned
- May 31, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 21
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanford Health of Northern Minnesota
Practice addresses (Care Compare)
1705 Anne St NW
Bemidji, MN 56601-6151
Phone (218) 333-5000
Hospital & facility affiliations
- Sanford Bemidji Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.56 of 100
- Quality
- 74.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.16
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181010000426 | MN | Practitioner - Nurse Practitioner | 9335491943 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6046 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current |
Accepting new patients | |
| Sanford Health of Northern Minnesota | Current |
Accepting new patients |
Locations
1656 Central St W
Bagley, MN 56621
Phone (218) 694-2384
203 4th St NW
Bagley, MN 56621
Phone (218) 694-3939
1300 Anne St NW
Bemidji, MN 56601
Phone (218) 333-5794
1705 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2035
1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020
81 1st St NW
Blackduck, MN 56630
Phone (218) 835-4222
219 Grant Utley Ave NW
Cass Lake, MN 56633
Phone (218) 333-2559
1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481
110 7th St W
Park Rapids, MN 56470
Phone (218) 699-3121
614 Michigan Ave W
Walker, MN 56484
Phone (218) 547-3938
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Nurse Practitioner | 363LF0000X | 6046 | MN | Yes |
Addresses
Primary practice location
203 4TH St NW
Bagley, MN 56621
Mailing address
3112 Cedar LN NW
Bemidji, MN 56601-4221
Phone (218) 368-3792
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pwichmann2543891@direct.sanfordhealth.org | Direct |
Other providers in Bagley, MN
- Lydia Ann Swanson
- Thrifty Drug Stores Inc
- Seth Tramm
- Shelley Wahlin-Quinlan
- Michael Daniel Warwas
- Kimberly Anne Wolff
- Amanda N Yudell
All providers in Bagley, MN · Family Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.