Mary Jane Wuebben, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0468 Issued in SD

Practice address

6301 S Minnesota Ave Ste 300
Sioux Falls, SD 57108-2529

Phone

(605) 366-2131

Fax

(605) 334-0926

NPI assigned

May 19, 2006

Last updated

Jul 1, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Pulmonary and Sleep Consultants

  dba Elevate Functional Medicine

  • Pulmonary Disease Physician
  • Sioux Falls, SD
  • NPI 1205880747
  Medicare reassignment
• Richard J Howard MD, PC

  • Clinic/Center
  • Sioux Falls, SD
  • NPI 1740377209
  NPD
• Sioux Falls Center for Plastic and Reconstructive Surgery

  • Clinic/Center
  • Sioux Falls, SD
  • NPI 1104201599
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1235182254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 S MINNESOTA AVE STE 300",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082529",
            "telephone_number": "605-366-2132",
            "fax_number": "605-334-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 S MINNESOTA AVE STE 300",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082529",
            "telephone_number": "605-366-2131",
            "fax_number": "605-334-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUEBBEN",
        "first_name": "MARY JANE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "000871",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Wright
• Samantha Kate Wright
• Gina Wubben, RN
• Justin G Wubben, D.C.
• Stephanie Marie Wubben, AU.D
• Brian Wuestewald
• Kelly Wuestewald, PTA
• Albert Wulf, RRT
• Gary Neil Wurgler, PHYSICIANS ASSISTANT
• Sara Wurgler, MA-MFT

• Physician Assistant in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Physician Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.

Verify at the official NPI Registry.