Individual provider Active NPI

Kenneth Wetcher, M.D.

  • Psychiatry Physician
  • Naples, FL
National Provider Identifier
1487606547
Registry record updated Sep 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME92093 Issued in FL
Practice address
13024 Valewood Dr
Naples, FL 34119-8577
Phone
(970) 331-3310
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2009

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D6691 TX
Psychiatry Physician 2084P0800X 6772A WY
Psychiatry Physician 2084P0800X 41044 CO
Psychiatry Physician 2084P0800X ME92093 FL Primary
Psychiatry Physician 2084P0800X 23668 NE

Addresses

Primary practice location

13024 Valewood Dr
Naples, FL 34119-8577

Mailing address

13024 Valewood Dr
Naples, FL 34119-8577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41044COMDPsychiatry Physician
ME92093FLMDPsychiatry Physician
D6691TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Visalia Medical Clinic, Inc. Current Accepting new patients
Alegent Health Bergan Mercy Health System Psychiatry Past Accepting new patients
Alegent Health Bergan Mercy Health System Past Accepting new patients

Locations

5400 W Hillsdale Ave
Visalia, CA 93291
Phone (553) 733-5222

Interoperability endpoints

  • Direct secure messaging: kennethwetcher@vmchealth.allscriptsdirect.net

Organizations & group practices 3

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252886400000",
    "number": "1487606547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13024 VALEWOOD DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341198577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13024 VALEWOOD DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341198577",
            "telephone_number": "970-331-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETCHER",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2009-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "D6691",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WY",
            "license": "6772A",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "41044",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME92093",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "23668",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.