Individual provider Active NPI

Dustin Wondercheck

  • Physician Assistant
  • Billings, MT
National Provider Identifier
1194274548
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2900 12TH Ave N
Suite 400E
Billings, MT 59101-7506
Phone
(406) 238-6820
NPI assigned
Sep 27, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MT Primary

Addresses

Primary practice location

2900 12TH Ave N
Suite 400E
Billings, MT 59101-7506

Mailing address

2900 12TH Ave N
Suite 400E
Billings, MT 59101-7506
Phone (406) 238-6820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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

Enrollment IDStateProvider typePAC IDDetails
I20170912002485 NE Practitioner - Physician Assistant 4183912496 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest OB/GYN Clinic, PCGroup PAC ID 9133014764, 14 clinicians
Faith Regional Physician Services LLCGroup PAC ID 5193786168, 194 clinicians

Practice addresses (Care Compare)

1410 N 13TH St
Midwest Health Partners PC
Norfolk, NE 68701-2669
Phone (402) 379-2322

2700 W Norfolk Ave
Norfolk, NE 68701-4438

47452 268 Ave
Suite C
Humphrey, NE 68642-5178
Phone (402) 923-0150

Hospital & facility affiliations

  • Faith Health Hospital, Norfolk, NE, CCN 280125
  • St Francis Memorial Hospital Hospital, West Point, NE, CCN 281322

Merit-based Incentive Payment System (MIPS)

Final score
80.77 of 100Reported as group
Quality
67.03
Promoting interoperability
96
Improvement activities
40
Cost
72.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2145NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Rivers Urgent Care LLC CurrentSince Sep 10, 2018 Accepting new patients
Twin Rivers Urgent Care LLC CurrentSince Sep 10, 2018 Accepting new patients
Faith Regional Physician Services, LLC CurrentSince May 20, 2019 Accepting new patients
Franciscan Care Services Inc Physician Assistant Past Accepting new patients

Locations

720 N Webb Rd
Grand Island, NE 68803
Phone (308) 384-2500

3203 Osborne Dr W
Ste 101
Hastings, NE 68901
Phone (308) 384-2500

47452 268 Ave
Ste C
Humphrey, NE 68642
Phone (402) 923-0150

2600 W Norfolk Ave
Ste 200
Norfolk, NE 68701
Phone (402) 844-8194

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1194274548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 12TH AVE N",
            "address_2": "SUITE 400E",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591017506",
            "telephone_number": "406-238-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 12TH AVE N",
            "address_2": "SUITE 400E",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591017506",
            "telephone_number": "406-238-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONDERCHECK",
        "first_name": "DUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.