Active NPI
Noah Lynn Wride, M.D.
- Surgery Physician
- Mankato, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 81272
- Practice address
- 1025 Marsh St
Mankato, MN 56001-4752 - Phone
- (507) 625-4031
- NPI assigned
- Jun 23, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 64653 | WI | |
| Surgery Physician | 208600000X | 81272 | MN | Primary |
Addresses
Primary practice location
1025 Marsh St
Mankato, MN 56001-4752
Mailing address
PO Box 860912
Minneapolis, MN 55486-0912
Phone (507) 284-2511
Other practice location 1
1501 S Madison St
Appleton, WI 54915-1846
Phone (920) 738-2000
Other practice location 2
970 Medical Dr Ste 202
Brigham City, UT 84302-3286
Phone (435) 723-0329
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100048793 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Minnesota Medical School, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mayo Clinic Health System-Southwest Minnesota Region
Practice addresses (Care Compare)
1025 Marsh St
Mankato, MN 56001-4752
Phone (507) 625-4031
1501 S Madison St
Appleton, WI 54915-1846
Phone (920) 738-2000
Hospital & facility affiliations
- Mayo Clinic Health System - Mankato
- Ascension NE Wisconsin - St Elizabeth Campus
- Mayo Clinic Health System - Waseca
- Mayo Clinic Health System St. James
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81272 | MN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Southwest Minnesota Region | Current | Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Minnesota Region | Current | Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Minnesota Region | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Minnesota Region | Current | Accepting new patients |
Locations
404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285
1000 1st Dr NW
Austin, MN 55912
Phone (507) 433-7351
1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623
301 2nd St NE
New Prague, MN 56071
Phone (952) 758-4431
501 State St N
Waseca, MN 56093
Phone (507) 835-1210
1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220
3301 Cranberry Blvd
Weston, WI 54476
Phone (715) 393-2100
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ascension Medical Group
- Multi-Specialty Clinic/Center
- Neenah, WI
- NPI 1730126392
-
dba Mayo Clinic Health System-New Prague
- Critical Access Hospital
- New Prague, MN
- NPI 1124035282
-
dba Mayo Clinic Health System - Mankato
- Multi-Specialty Clinic/Center
- Mankato, MN
- NPI 1578545422
-
dba Mayo Clinic Health System-Waseca
- Critical Access Hospital
- Waseca, MN
- NPI 1740256668
-
dba Mayo Clinic Health System-Albert Lea and Austin
- Multi-Specialty Clinic/Center
- Albert Lea, MN
- NPI 1891701637
-
dba Mayo Clinic Health System-Waseca
- Multi-Specialty Clinic/Center
- Waseca, MN
- NPI 1518494251
-
- Cardiovascular Disease Physician
- Appleton, WI
- NPI 1831890177
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mayo Clinic Health System - Mankato
- General Acute Care Hospital
- Mankato, MN
- NPI 1154302487
-
dba Mayo Clinic Health System-Waseca
- Critical Access Hospital
- Waseca, MN
- NPI 1740256668
-
- Critical Access Hospital
- Saint James, MN
- NPI 1639198732
-
dba Ascension NE Wisconsin-St Elizabeth Campus
- General Acute Care Hospital
- Appleton, WI
- NPI 1407803638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766707200000",
"number": "1457766982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 860912",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554860912",
"telephone_number": "507-284-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 MARSH ST",
"city": "MANKATO",
"state": "MN",
"postal_code": "560014752",
"telephone_number": "507-625-4031"
}
],
"practiceLocations": [
{
"address_1": "1501 S Madison St",
"address_purpose": "LOCATION",
"city": "Appleton",
"state": "WI",
"postal_code": "549151846",
"country_code": "US",
"telephone_number": "920-738-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "970 Medical Dr Ste 202",
"address_purpose": "LOCATION",
"city": "Brigham City",
"state": "UT",
"postal_code": "843023286",
"country_code": "US",
"telephone_number": "435-723-0329",
"fax_number": "435-723-0429",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WRIDE",
"first_name": "NOAH",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-23",
"last_updated": "2025-12-26",
"certification_date": "2025-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WI",
"license": "64653",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MN",
"license": "81272",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100048793",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.