Wanda Christine Minenna, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

101.0134955 Issued in VT

Practice address

655 Main St
Bennington, VT 05201-2845

Phone

(802) 447-2343

Fax

(802) 442-4636

NPI assigned

Feb 23, 2015

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ND, CA, VT3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Primary Care Health Partners - Vermont LLPGroup PAC ID 7810896032, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vna & Hospice of the Southwest Region, Inc. Home health agency, Rutland, VT, CCN 477007
• Southwestern Vermont Medical Center Hospital, Bennington, VT, CCN 470012

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wminenna@pchpmd.medentdirect.com
• Direct secure messaging: wanda.minenna.p1@direct.cmcentersinc.nextgenshare.com

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.

• Primary Care Health Partners - Vermont LLP

  • Family Medicine Physician
  • Williston, VT
  • NPI 1285687616
  Medicare reassignment Care Compare group NPD
• Elbowoods Memorial Health Center

  dba Minne Tohe Health Center

  • Clinic/Center
  • New Town, ND
  • NPI 1831365519
  Medicare reassignment NPD
• Open Door Community Health Centers

  dba Del Norte Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Crescent City, CA
  • NPI 1497840656
  Medicare reassignment
• Open Door Community Health Centers

  dba Eureka Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Eureka, CA
  • NPI 1669569109
  NPD
• Primary Care Health Partners - New York LLP

  • Family Medicine Physician
  • Plattsburgh, NY
  • NPI 1003861782
  NPD
• Primary Care Health Partners

  • Pediatrics Physician
  • Brattleboro, VT
  • NPI 1740246925
  NPD (past)

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

• Southwestern Vermont Medical Center Inc.

  • General Acute Care Hospital
  • Bennington, VT
  • NPI 1205865789
  Care Compare affiliation
• Vna & Hospice of the Southwest Region, Inc

  • Home Health Agency
  • Rutland, VT
  • NPI 1407856800
  Care Compare affiliation
• Vna & Hospice of the Southwest Region, Inc.

  • Public Health or Welfare Agency
  • Rutland, VT
  • NPI 1578743621

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1609268085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BLAIR PARK RD STE 285",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957855",
            "telephone_number": "802-288-1140",
            "fax_number": "802-288-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 MAIN ST",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052012845",
            "telephone_number": "802-447-2343",
            "fax_number": "802-442-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINENNA",
        "first_name": "WANDA",
        "middle_name": "CHRISTINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-23",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0134955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wminenna@pchpmd.medentdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "655 Main St",
            "city": "Bennington",
            "state": "VT",
            "country_code": "US",
            "postal_code": "052012845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• MHP Healthcare LLC (Extended Care Pharmacy LLC)
• Whitney P Mical, FNP
• Diana Michalczuk, PSYD
• Robert J Miller, D.D.S.
• Mindful Solutions PLLC
• Katherine Miskovsky, M.ED.
• Mackenzie Lucille Mitchell
• Gary Moelich, AA
• Kimberley Monnet
• Monument Urology, PC

• Family Nurse Practitioner in Bennington, VT
• Providers in Bennington, VT by specialty
• Family Nurse Practitioner in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.

Verify at the official NPI Registry.