Active NPI
Joseph A Wenzl, M.D.
- Family Medicine Physician
- Bellevue, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 17621
- Practice address
- 3308 Samson Way Ste 101
Bellevue, NE 68123 - Phone
- (402) 717-0450
- NPI assigned
- Aug 31, 2006
- Last updated
- Jan 31, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 17621 | NE | Primary |
Addresses
Primary practice location
3308 Samson Way Ste 101
Bellevue, NE 68123
Mailing address
7261 Mercy Rd
Omaha, NE 68124-2311
Other practice location 1
3802 Raynor Pkwy
Bellevue, NE 68123-6048
Phone (402) 280-3550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Creighton University School of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3308 Samson Way
Bellevue, NE 68123-3234
Phone (402) 291-3373
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Creighton Clinic | Family Medicine | Current | Accepting new patients |
| Creighton University | Family Medicine | Past | Accepting new patients |
| Alegent Creighton Clinic | Family Medicine | Past | Accepting new patients |
| Creighton University | Past | Accepting new patients |
Locations
2771 Solution Ctr
Chicago, IL 60677
3308 Samson Way
Bellevue, NE 68123
Phone (402) 291-3373
3308 Samson Way
Ste 101
Bellevue, NE 68123
Phone (402) 291-3373
3802 Raynor Pkwy
Bellevue, NE 68123
Phone (402) 280-3550
4508 38th St
Ste 157
Columbus, NE 68601
Phone (402) 280-4497
10828 John Galt Blvd
Omaha, NE 68137
Phone (402) 592-4400
16909 Lakeside Hills Ct
Ste 300
Omaha, NE 68130
Phone (402) 758-5400
16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920
7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248
7710 Mercy Rd
Ste 426
Omaha, NE 68124
Phone (402) 343-8650
7909 N 30th St
Omaha, NE 68112
Phone (402) 280-4780
Interoperability endpoints
- jwenzl46890@achce.catholichealth.net
Organizations & group practices 4
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 Creighton Medical Associates
- Allergy & Immunology (Internal Medicine) Physician
- Omaha, NE
- NPI 1295777225
Family Medicine
-
dba CHI Health Clinic
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHI Health Midlands
- General Acute Care Hospital
- Papillion, NE
- NPI 1215006101
-
dba CHI Health Lakeside
- General Acute Care Hospital
- Omaha, NE
- NPI 1649355132
-
dba Lasting Hope Recovery Center
- Psychiatric Hospital Unit
- Omaha, NE
- NPI 1396969499
-
dba CHI Health Creighton University Medical Center-Bergan Mercy
- General Acute Care Hospital
- Omaha, NE
- NPI 1508941097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548892800000",
"number": "1588775035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7261 MERCY RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681242311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3308 SAMSON WAY STE 101",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "68123",
"telephone_number": "402-717-0450"
}
],
"practiceLocations": [
{
"address_1": "3802 Raynor Pkwy",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "NE",
"postal_code": "681236048",
"country_code": "US",
"telephone_number": "402-280-3550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WENZL",
"first_name": "JOSEPH",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2019-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "17621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.