Individual provider Active NPI

Wendy Rascon-Stastny, FNP

  • Family Nurse Practitioner
  • Palm Springs, CA
National Provider Identifier
1306311212
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95009533 Issued in CA
Practice address
255 N El Cielo Rd Ste 300
Palm Springs, CA 92262-6986
Phone
(760) 647-3344
NPI assigned
Oct 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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 95009533 CA Primary

Addresses

Primary practice location

255 N El Cielo Rd Ste 300
Palm Springs, CA 92262-6986

Mailing address

255 N El Cielo Rd Ste 300
Palm Springs, CA 92262-6986
Phone (760) 647-3344

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230803004097 CA Practitioner - Nurse Practitioner 0840651030 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95009533CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Medical Group, Inc. CurrentSince Jun 19, 2023 Accepting new patients
Werner Gonzalez Medical Group Inc Past Accepting new patients
Family Hospice Care, LLC PastSince Jul 9, 2023 Accepting new patients

Locations

275 N El Cielo Rd
Palm Springs, CA 92262
Phone (760) 320-8814

Interoperability endpoints

  • Direct secure messaging: wendy.rasconstastny.p5@direct.mydohc.nextgenshare.com
  • Direct secure messaging: wendy.rasconstastny.p2@direct.mydohc.nextgenshare.com
  • Direct secure messaging: wendy.rasconstastny.p40@direct.mydohc.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1538784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1306311212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N EL CIELO RD STE 300",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626986",
            "telephone_number": "760-647-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N EL CIELO RD STE 300",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626986",
            "telephone_number": "760-647-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASCON-STASTNY",
        "first_name": "WENDY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.