Active NPI
Madison Michelle Wesseln, PA-C
- Physician Assistant
- Rancho Mirage, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 58898
- Practice address
- 39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221 - Phone
- (760) 346-0642
- Fax
- (760) 340-9152
- NPI assigned
- Jun 25, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 58898 | CA | Primary |
Addresses
Primary practice location
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Mailing address
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 346-0642
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911
39950 Vista del Sol
Rancho Mirage, CA 92270-3206
Phone (760) 340-0053
Hospital & facility affiliations
- Eisenhower Medical Center
- Desert Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Healthcare | Current | Accepting new patients | |
| Neighborhood Healthcare | Current | Accepting new patients | |
| Eisenhower Medical Center | Current | Accepting new patients | |
| Eisenhower Medical Center | Current | Accepting new patients | |
| Eisenhower Medical Center | Past | Accepting new patients |
Locations
425 N Date St
Escondido, CA 92025
Phone (760) 737-2035
39000 Bob Hope Dr
Ofc
Rancho Mirage, CA 92270
Phone (760) 333-1813
39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911
39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053
41840 Enterprise Cir N
Temecula, CA 92590
Phone (951) 225-6400
Interoperability endpoints
- mwesseln130497@edirect.emc.org
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
-
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1598703647
-
- General Acute Care Hospital
- Cathedral City, CA
- NPI 1407007537
-
- General Acute Care Hospital
- Cathedral City, CA
- NPI 1629384615
-
- Federally Qualified Health Center (FQHC)
- Beaumont, CA
- NPI 1629601653
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Palm Springs, CA
- NPI 1104856095
-
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724716800000",
"number": "1215554258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39000 BOB HOPE DR",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922703221",
"telephone_number": "760-346-0642",
"fax_number": "760-340-9152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39000 BOB HOPE DR",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922703221",
"telephone_number": "760-346-0642",
"fax_number": "760-340-9152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESSELN",
"first_name": "MADISON",
"middle_name": "MICHELLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-25",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "58898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.