Stephanie D Wadle-Wignall, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

33362 Issued in IA

Practice address

909 SW Oralabor Rd
Suite 100
Ankeny, IA 50023-7004

Phone

(515) 964-4600

Fax

(515) 964-9838

NPI assigned

Jan 3, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA, MO2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Iowa Physicians Clinic Medical Foundation

  • General Practice Physician
  • West Des Moines, IA
  • NPI 1366425274

  Pediatrics

  Medicare reassignment NPD
• Richland Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Osage Beach, MO
  • NPI 1891931978
  Medicare reassignment NPD
• Boone County Hospital

  • Critical Access Hospital
  • Boone, IA
  • NPI 1467434225
  NPD (past)
• Richland Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Richland, MO
  • NPI 1245361344
  NPD (past)

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1356329130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 SW ORALABOR RD",
            "address_2": "SUITE 100",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500237004",
            "telephone_number": "515-964-4600",
            "fax_number": "515-964-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 SW ORALABOR RD",
            "address_2": "SUITE 100",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500237004",
            "telephone_number": "515-964-4600",
            "fax_number": "515-964-9838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 N Main St",
            "address_purpose": "LOCATION",
            "city": "Gravois Mills",
            "state": "MO",
            "postal_code": "650376253",
            "country_code": "US",
            "telephone_number": "877-406-2662",
            "fax_number": "573-207-2773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADLE-WIGNALL",
        "first_name": "STEPHANIE",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-03",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2022026243",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "33362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356329130",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356329130",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Visualeyes,Inc.
• Jacob Volf
• Alexander Joel Volkmar, MD
• Lydia Elyse Von Tersch, DO
• Rachel Cindy Wacker
• Stephanie Jean Waechter, DNP-FNP
• Chadwin J Wagener, D.D.S.
• Barbara Jean Wagner
• Wal-Mart Stores, Inc.
• Walgreen Co

• Pediatrics Physician in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Pediatrics Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.