Individual provider Active NPI

Martha Tsega Wendemineh, BSN, FNP

  • Family Nurse Practitioner
  • Inglewood, CA
National Provider Identifier
1265075428
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10190803 Issued in CA
Practice address
930 N Cedar St Apt 29
Inglewood, CA 90302-8095
Phone
(559) 483-6682
NPI assigned
Oct 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F10190803 CA Primary

Addresses

Primary practice location

930 N Cedar St Apt 29
Inglewood, CA 90302-8095

Mailing address

930 N Cedar St Apt 29
Inglewood, CA 90302-8095
Phone (559) 483-6682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, WV3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220523002349 DC Practitioner - Nurse Practitioner 7214314707 Reassigns benefits to 2 organizations
I20220602002072 VA Practitioner - Nurse Practitioner 7214314707 Reassigns benefits to 3 organizations
I20240815003496 WV Practitioner - Nurse Practitioner 7214314707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Associates P.a., P.C.Group PAC ID 8022914522, 706 clinicians
Apogee Medical Group West Virginia PLLCGroup PAC ID 0941343255, 37 clinicians

Practice addresses (Care Compare)

1701 N George Mason Dr
Arlington, VA 22205-3610
Phone (703) 558-5000

1710 Harper Rd
Beckley, WV 25801-3357
Phone (214) 592-1329

4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 504-3000

Hospital & facility affiliations

  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040
  • Raleigh General Hospital Hospital, Beckley, WV, CCN 510070

Merit-based Incentive Payment System (MIPS)

Final score
96.87 of 100Reported as group
Quality
80.8
Improvement activities
40
Cost
81.84

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
76.36
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F10190803CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Fredericksburg, LLC CurrentSince Jan 1, 2022 Accepting new patients
Apogee Medical Group, West Virginia, PLLC CurrentSince Jun 23, 2024 Accepting new patients
Emergency Medicine Associates PA CurrentSince Oct 21, 2024 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Nov 1, 2022 Accepting new patients

Locations

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

Organizations & group practices 7

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": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1265075428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 N CEDAR ST APT 29",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903028095",
            "telephone_number": "559-483-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 N CEDAR ST APT 29",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903028095",
            "telephone_number": "559-483-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDEMINEH",
        "first_name": "MARTHA",
        "middle_name": "TSEGA",
        "credential": "BSN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F10190803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.