Active NPI
Lois Wenger, MSN, ANP
- Nurse Practitioner
- Colorado Springs, CO
National Provider Identifier
1164747309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71473
- Practice address
- 47 Widefield Blvd
Colorado Springs, CO 80911-2126 - Phone
- (719) 390-4335
- Fax
- (719) 390-4566
- NPI assigned
- Mar 31, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71473 | CO | Primary |
Addresses
Primary practice location
47 Widefield Blvd
Colorado Springs, CO 80911-2126
Mailing address
5410 Powers Center PT
Ste 230
Colorado Springs, CO 80920-7148
Phone (719) 282-6106
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0934055 | Medicaid | CO |
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, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71473 | CO | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508716800000",
"number": "1164747309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5410 POWERS CENTER PT",
"address_2": "STE 230",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809207148",
"telephone_number": "719-282-6106",
"fax_number": "719-282-6106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 WIDEFIELD BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809112126",
"telephone_number": "719-390-4335",
"fax_number": "719-390-4566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENGER",
"first_name": "LOIS",
"credential": "MSN, ANP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-31",
"last_updated": "2017-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "71473",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0934055",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.