Jenny Mae Wheeler, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD22786 Issued in ME

Practice address

14 Main Street
Bethel, ME 04217-0421

Phone

(760) 835-6277

Fax

(760) 393-0522

NPI assigned

Dec 16, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2023 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1538305883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14",
            "city": "BETHEL",
            "state": "ME",
            "postal_code": "042170014",
            "telephone_number": "760-835-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MAIN STREET",
            "city": "BETHEL",
            "state": "ME",
            "postal_code": "042170421",
            "telephone_number": "760-835-6277",
            "fax_number": "760-393-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "JENNY",
        "middle_name": "MAE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-16",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD22786",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A150173",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Town of Bethel
• Cynthia J Vasko, M.S., SLP-CCC
• Victoria Crockett-Rice Dba: Bethel Station Chiropractic Office
• Stephanie Vreeland
• Walgreen Eastern Co Inc
• White Mountain Expressive Arts
• Jan R Whitworth, PAC
• Janet Willie, L.P.N., L.M.T.
• Jodie Wilson, PT
• Amy Yasko

• Family Medicine Physician in Bethel, ME
• Providers in Bethel, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.