Active NPI
Sean Matthew Wetjen, MD
- Emergency Medicine Physician
- Dubuque, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD-51723
- Practice address
- 250 Mercy Dr
Dubuque, IA 52001-7320 - Phone
- (202) 491-1958
- NPI assigned
- Apr 25, 2019
- Last updated
- Jul 12, 2023
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD-51723 | IA | Primary |
Addresses
Primary practice location
250 Mercy Dr
Dubuque, IA 52001-7320
Mailing address
6655 Wellington LN
Dubuque, IA 52003-8008
Phone (202) 491-1958
Other practice location 1
1415 Woodland Ave Ste 140
Des Moines, IA 50309-3203
Phone (515) 241-4076
Other practice location 2
8701 W Watertown Plank Rd
Milwaukee, WI 53226-3548
Phone (414) 955-1112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3421 W 9TH St
Waterloo, IA 50702-5401
Phone (319) 272-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dubuque Emergency Physicians PC | Emergency Medicine | Current | Accepting new patients |
Locations
250 Mercy Dr
Dubuque, IA 52001
Phone (563) 589-8000
Interoperability endpoints
- swetjen3937495@direct.trinity-health.org
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Waterloo, IA
- NPI 1649013038
-
- Emergency Medicine Physician
- Dubuque, IA
- NPI 1447295365
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MercyOne Dubuque Medical Center
- General Acute Care Hospital
- Dubuque, IA
- NPI 1659348506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1285298257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6655 WELLINGTON LN",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520038008",
"telephone_number": "202-491-1958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 MERCY DR",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520017320",
"telephone_number": "202-491-1958"
}
],
"practiceLocations": [
{
"address_1": "1415 Woodland Ave Ste 140",
"address_purpose": "LOCATION",
"city": "Des Moines",
"state": "IA",
"postal_code": "503093203",
"country_code": "US",
"telephone_number": "515-241-4076",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8701 W Watertown Plank Rd",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532263548",
"country_code": "US",
"telephone_number": "414-955-1112",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WETJEN",
"first_name": "SEAN",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-25",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IA",
"license": "MD-51723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.