Individual provider Active NPI

Donna M Wacker, FNP-C

  • Family Nurse Practitioner
  • Dublin, OH
National Provider Identifier
1356431894
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R26295 Issued in ND
Practice address
7251 Sawmill Rd
Dublin, OH 43016-7406
Phone
(701) 315-0183
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C-APN.0101051 CO
Family Medicine Physician 207Q00000X 5014871 NC
Family Medicine Physician 207Q00000X 02768 RI
Family Medicine Physician 207Q00000X 225172 AR
Family Nurse Practitioner 363LF0000X R26295 ND Primary
Family Medicine Physician 207Q00000X 0031052 OH
Family Medicine Physician 207Q00000X 293828 AZ
Family Medicine Physician 207Q00000X 904926 MS
Family Medicine Physician 207Q00000X 348384 NY
Family Medicine Physician 207Q00000X 209028121 IL
Family Medicine Physician 207Q00000X A150311 IA
Family Medicine Physician 207Q00000X 14349-33 WI
Family Medicine Physician 207Q00000X 11661 CT
Family Medicine Physician 207Q00000X 82146 KS
Family Medicine Physician 207Q00000X 4704376142 MI

Addresses

Primary practice location

7251 Sawmill Rd
Dublin, OH 43016-7406

Mailing address

1951 Main St W
Turtle Lake, ND 58575-9661
Phone (701) 628-2505

Other identifiers 1

IdentifierTypeStateIssuer
19843MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20230726002363 ND Order and Referring Only - Nurse Practitioner 2668442138

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
225172ARMDFamily Medicine Physician
293828AZMDFamily Medicine Physician
C-APN.0101051COMDFamily Medicine Physician
A150311IAMDFamily Medicine Physician
209028121ILMDFamily Medicine Physician
82146KSMDFamily Medicine Physician
904926MSMDFamily Medicine Physician
5014871NCMDFamily Medicine Physician
348384NYMDFamily Medicine Physician
0031052OHMDFamily Medicine Physician
02768RIMDFamily Medicine Physician
14349-33WIMDFamily Medicine Physician
11661CTMDPhysical Therapist
1037281TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC Family Medicine PastSince Jun 3, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dwacker@landmarkhealth-direct.org
  • Direct secure messaging: ms_dwacker2@landmarkhealth-direct.org

Organizations & group practices 1

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1356431894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 MAIN ST W",
            "city": "TURTLE LAKE",
            "state": "ND",
            "postal_code": "585759661",
            "telephone_number": "701-628-2505",
            "fax_number": "701-628-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7251 SAWMILL RD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430167406",
            "telephone_number": "701-315-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACKER",
        "first_name": "DONNA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "C-APN.0101051",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "5014871",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "02768",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "225172",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R26295",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "0031052",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "293828",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "904926",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "348384",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "209028121",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "A150311",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "14349-33",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "11661",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "82146",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4704376142",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19843",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.