Mary Jo Pieper

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R96529-7 Issued in MN

Practice address

22 Dayton Ave SE
Wadena, MN 56482-1526

Phone

(218) 632-8493

Fax

(218) 260-2727

NPI assigned

Nov 19, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• County of Wadena

  • Public Health or Welfare Agency
  • Wadena, MN
  • NPI 1679576912
  NPD (past)

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1518503176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 DAYTON AVE SE",
            "city": "WADENA",
            "state": "MN",
            "postal_code": "564821526",
            "telephone_number": "218-632-8493",
            "fax_number": "218-260-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 DAYTON AVE SE",
            "city": "WADENA",
            "state": "MN",
            "postal_code": "564821526",
            "telephone_number": "218-632-8493",
            "fax_number": "218-260-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIEPER",
        "first_name": "MARY",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R96529-7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabitha Ann Petrowski, MS, CCC-SLP
• Andrea C Pettit, PTA
• Jason Michael Pexsa, PHARM.D.
• Sam Phillips, R.PH.
• Shari Phillips, LPCC
• Kaylee Marie Poppen
• Leah Prussia, LICSW
• Jessica Radermacher, PA-C
• Amber Annice Rastedt, RN, BSN
• Michaela Rausch, RDN, LDN

• Registered Nurse in Wadena, MN
• Providers in Wadena, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.