Active NPI
Wade Carl Wernecke, MD
- Emergency Medical Services (Emergency Medicine) Physician
- Hot Springs, AR
National Provider Identifier
1184613929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 31819
- Practice address
- 300 Werner St
Hot Springs, AR 71913-6406 - Phone
- (501) 622-1043
- Fax
- (501) 622-1199
- NPI assigned
- Oct 14, 2005
- Last updated
- Feb 7, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 31819 | MN | Primary |
Addresses
Primary practice location
300 Werner St
Hot Springs, AR 71913-6406
Mailing address
300 Werner St
Hot Springs, AR 71913-6406
Phone (501) 622-1043
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2M151WE | Other | MN | BCBS |
| 053502800 | Medicaid | MN | |
| 5H0526972 | Other | AR | MEDICARELINKED |
| HP31594 | Other | MN | HEALTHPARTNERS |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31819 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Medicine Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202342400000",
"number": "1184613929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 WERNER ST",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719136406",
"telephone_number": "501-622-1043",
"fax_number": "501-622-1199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 WERNER ST",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719136406",
"telephone_number": "501-622-1043",
"fax_number": "501-622-1199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERNECKE",
"first_name": "WADE",
"middle_name": "CARL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-14",
"last_updated": "2008-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "MN",
"license": "31819",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "2M151WE",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "053502800",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARELINKED",
"identifier": "5H0526972",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP31594",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hot Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.