Active NPI
Nathan T. Wegner, MD
- Specialist
- Lees Summit, MO
National Provider Identifier
1225031909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2000153518
- Practice address
- 5718 NE Sapphire PL
Lees Summit, MO 64064-1177 - Phone
- (816) 718-2372
- NPI assigned
- May 24, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 2000153518 | MO | Primary |
Addresses
Primary practice location
5718 NE Sapphire PL
Lees Summit, MO 64064-1177
Mailing address
5718 NE Sapphire PL
Lees Summit, MO 64064-1177
Phone (816) 718-2372
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27335011 | Other | MO | BCBS |
| P0002191 | Other | MO | MEDICARE RR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647993600000",
"number": "1225031909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5718 NE SAPPHIRE PL",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640641177",
"telephone_number": "816-718-2372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5718 NE SAPPHIRE PL",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640641177",
"telephone_number": "816-718-2372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEGNER",
"first_name": "NATHAN",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2022-03-23",
"certification_date": "2022-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MO",
"license": "2000153518",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "27335011",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P0002191",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.