Individual provider Active NPI

Linda M Welniak, MD

  • Family Medicine Physician
  • Jefferson, WI
National Provider Identifier
1316054372
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34897 Issued in WI
Practice address
840 Racine Street
Jefferson, WI 53549-1053
Phone
(920) 674-6000
Fax
(920) 674-3034
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34897 WI Primary

Addresses

Primary practice location

840 Racine Street
Jefferson, WI 53549-1053

Mailing address

840 Racine Street
Jefferson, WI 53549-1053
Phone (920) 674-6000

Other identifiers 1

IdentifierTypeStateIssuer
32160400MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100610000605 WI Practitioner - Family Practice 6709916158 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34897WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. Current Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Jul 1, 2016 Accepting new patients
American Current Care P.a. CurrentSince Nov 28, 2022 Accepting new patients
American Current Care PA Current Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Family Medicine CurrentSince Feb 23, 2015 Accepting new patients
American Current Care PA CurrentSince Nov 28, 2022 Accepting new patients

Locations

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

2455 N 124th St
Brookfield, WI 53005
Phone (262) 782-9326

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

358 Junction Rd
Madison, WI 53717
Phone (608) 829-1888

215 N 35th St
Milwaukee, WI 53208
Phone (414) 931-7600

4805 S Moorland Rd
New Berlin, WI 53151
Phone (262) 798-7200

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

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.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1316054372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 RACINE STREET",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535491053",
            "telephone_number": "920-674-6000",
            "fax_number": "920-674-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 RACINE STREET",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535491053",
            "telephone_number": "920-674-6000",
            "fax_number": "920-674-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELNIAK",
        "first_name": "LINDA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "34897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32160400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, WI

Sources for this page

Verify at the official NPI Registry.