Nella Wennberg, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

055-0030573 Issued in VT

Practice address

555 Washington Hwy
Morrisville, VT 05661-8972

Phone

(802) 888-8405

NPI assigned

Oct 13, 2006

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

Medicare fee-for-service enrollment

Enrolled in VT

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

Specialty

Physician Assistant

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Copley Hospital IncGroup PAC ID 9234125766, shared by 2 NPIs, 61 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Copley Hospital Hospital, Morrisville, VT, CCN 471305

Merit-based Incentive Payment System (MIPS)

Final score

83.39 of 100Reported as group

Quality

72.51

Promoting interoperability

100

Improvement activities

40

Cost

55.45

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nella.wennberg@chsi.eclinicaldirectplus.com

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.

• Copley Hospital, Inc.

  • Critical Access Hospital
  • Morrisville, VT
  • NPI 1568414365
  Medicare reassignment NPD
• Copley Hospital, Inc.

  • Critical Access Hospital
  • Morrisville, VT
  • NPI 1922029784
  Medicare reassignment NPD
• Copley Hospital Inc

  • Critical Access Hospital
  • Morrisville, VT
  • NPI 1588683544
  NPD
• Copley Hospital, Inc

  • Critical Access Hospital
  • Morrisville, VT
  • NPI 1225391014
  NPD
• Copley Hospital, Inc.

  • Anesthesiology Physician
  • Morrisville, VT
  • NPI 1295774842
  NPD

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

• Copley Hospital, Inc.

  • Critical Access Hospital
  • Morrisville, VT
  • NPI 1568414365
  Care Compare affiliation

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1144310673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 RUBY RAYMOND RD",
            "city": "WATERBURY CENTER",
            "state": "VT",
            "postal_code": "056778087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 WASHINGTON HWY",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056618972",
            "telephone_number": "802-888-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENNBERG",
        "first_name": "NELLA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VT",
            "license": "055-0030573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elliot Waring
• Gary Waring, M.D.
• Sarah Jane Waterman, M.D.
• Judith Watt
• Alicia Anne Marie Wein-Senghas, PSYD
• Haleigh West
• Joan Marie West, RD,CD
• Ashley Elaine Whalen, DPT
• Krystal Whitney
• Ashley Wildwood

• Surgical Physician Assistant in Morrisville, VT
• Providers in Morrisville, VT by specialty
• Surgical Physician Assistant in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.