Kristan A Wegerson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

37706 Issued in MN

Practice address

53585 Nokomis Road
Ashland, WI 54806

Phone

(715) 682-7133

Fax

(715) 685-7857

NPI assigned

May 11, 2006

Last updated

Nov 8, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, WI2 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bad River Band of Lake Superior Tribe of Chippewa Indians Wis

  • Federally Qualified Health Center (FQHC)
  • Ashland, WI
  • NPI 1699701375

  TX

  Medicare reassignment NPD
• Red Cliff Band of Lake Superior Chippewa Indians

  dba Red Cliff Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Bayfield, WI
  • NPI 1497744015
  Medicare reassignment NPD
• Bad River Band of Lake Superior Tribe of Chippewa Indains Wis

  dba Bad River AODA Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ashland, WI
  • NPI 1366618506
  NPD
• Bad River Band of Lake Superior Tribe of Chippewa Indians Wis.

  dba Bad River Clinic Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Ashland, WI
  • NPI 1780702829
  NPD
• Red Cliff Band of Lake Superior Chippewa Indians

  dba Red Cliff Ambulance Service

  • Land Ambulance
  • Bayfield, WI
  • NPI 1174672844
  NPD

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1457301152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53585 NOKOMIS RD",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548064272",
            "telephone_number": "715-683-7133",
            "fax_number": "715-685-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53585 NOKOMIS ROAD",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "54806",
            "telephone_number": "715-682-7133",
            "fax_number": "715-685-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGERSON",
        "first_name": "KRISTAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "37706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261713700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krystal Walker, COTA
• Scott H. Warren, MD
• Jeanne Lorette Waters
• Debra Anne Weber, LPC
• Elizabeth M Webster, APNP
• Kim Welty
• Nancy E Wheeler, CRNA, MS
• Brittny White, SAC-IT
• John C. White, M.D.
• Amanda R Whiting, DPT PT

• Family Medicine Physician in Ashland, WI
• Providers in Ashland, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.