NPIMap

Individual provider Active NPI

Charlotte A Wirges, MD

  • Family Medicine Physician
  • Holdrege, NE
National Provider Identifier
1528004231
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17452 Issued in NE
Practice address
1315 Tibbals Street
Holdrege, NE 68949
Phone
(308) 995-6111
Fax
(308) 995-4868
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17452 NE Primary

Addresses

Primary practice location

1315 Tibbals Street
Holdrege, NE 68949

Mailing address

1315 Tibbals Street
Holdrege, NE 68949
Phone (308) 995-6111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091230000011 NE Practitioner - Family Practice 5092893289 Reassigns benefits to 1 organization
I20230919002205 CO Practitioner - Family Practice 5092893289 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yuma District HospitalGroup PAC ID 6305758830, shared by 6 NPIs, 23 clinicians

Practice addresses (Care Compare)

1000 W 8TH Ave
Yuma, CO 80759-2641
Phone (970) 848-3869

1000 W 8TH Ave Ydh Prof Comp
Yuma, CO 80759-2641
Phone (970) 848-5405

1000 W 8TH Ave Yuma Clinic
Yuma, CO 80759-2641
Phone (970) 848-3896

82 Main Ave
Akron, CO 80720-1440
Phone (970) 345-6336

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yuma District Hospital CurrentSince Sep 25, 2023 Accepting new patients
Phelps Memorial Health Center Current Accepting new patients
Yuma District Hospital CurrentSince Sep 25, 2023 Accepting new patients
Holdrege Medical Clinic, P.C. Family Medicine CurrentSince Jul 2, 2000 Accepting new patients
Yuma District Hospital Current Accepting new patients
Yuma District Hospital Past Accepting new patients

Locations

82 Main Ave
Akron, CO 80720
Phone (970) 345-6336

1000 W 8th Ave
Yuma, CO 80759
Phone (970) 345-6336

1000 W 8th Ave
#2
Yuma, CO 80759

516 W 14th Ave
#100
Holdrege, NE 68949
Phone (308) 995-4431

1215 Tibbals St
Holdrege, NE 68949
Phone (308) 995-2211

Interoperability endpoints

  • Direct secure messaging: charlottewirges@pmhc.medalliesdirect.net
  • Direct secure messaging: charlotte.wirges@nehiidirectmail.org

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1528004231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 TIBBALS STREET",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "68949",
            "telephone_number": "308-995-6111",
            "fax_number": "308-995-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 TIBBALS STREET",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "68949",
            "telephone_number": "308-995-6111",
            "fax_number": "308-995-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIRGES",
        "first_name": "CHARLOTTE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "17452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holdrege, NE

Sources for this page

Verify at the official NPI Registry.