Active NPI
Wendy Michelle Miller, FNP-BC
- Family Nurse Practitioner
- Paynesville, MN
National Provider Identifier
1194100164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP 3995
- Practice address
- 200 W 1St St
Paynesville, MN 56362-1445 - Phone
- (320) 243-3767
- NPI assigned
- Jul 20, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R 201443-4 | MN | |
| Family Nurse Practitioner | 363LF0000X | CNP 3995 | MN | Primary |
Addresses
Primary practice location
200 W 1St St
Paynesville, MN 56362-1445
Mailing address
200 W 1St St
Paynesville, MN 56362-1445
Phone (320) 243-3767
Other names 1
- Wendy Michelle Fehl
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wmiller272594@direct.centracare.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 201443-4 | MN | MD | Registered Nurse |
| CNP 3995 | MN | MD | Family Nurse Practitioner |
Interoperability endpoints
- wmiller272594@direct.centracare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679961600000",
"number": "1194100164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W 1ST ST",
"city": "PAYNESVILLE",
"state": "MN",
"postal_code": "563621445",
"telephone_number": "320-243-3767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W 1ST ST",
"city": "PAYNESVILLE",
"state": "MN",
"postal_code": "563621445",
"telephone_number": "320-243-3767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "WENDY",
"middle_name": "MICHELLE",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-20",
"last_updated": "2023-03-28",
"certification_date": "2023-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "R 201443-4",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "CNP 3995",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wmiller272594@direct.centracare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "wmiller272594@direct.centracare.com",
"address_1": "200 W 1st St",
"city": "Paynesville",
"state": "MN",
"country_code": "US",
"postal_code": "563621445",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "WENDY",
"last_name": "FEHL",
"middle_name": "MICHELLE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Paynesville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.