Wendy K Wiltzen, FNPC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN14607 Issued in MT

Practice address

214 14TH Ave SW
Sidney, MT 59270-3521

Phone

(406) 488-2501

Fax

(406) 488-2149

NPI assigned

Nov 16, 2006

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

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1609949767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 14TH AVE SW",
            "city": "SIDNEY",
            "state": "MT",
            "postal_code": "592703521",
            "telephone_number": "406-488-2501",
            "fax_number": "406-488-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 14TH AVE SW",
            "city": "SIDNEY",
            "state": "MT",
            "postal_code": "592703521",
            "telephone_number": "406-488-2501",
            "fax_number": "406-488-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILTZEN",
        "first_name": "WENDY",
        "middle_name": "K",
        "credential": "FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "RN14607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MT",
            "identifier": "000372600",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0436917",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15860",
            "state": "ND"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wwiltzen4798374@direct.sanfordhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "214 14th Ave SW",
            "city": "Sidney",
            "state": "MT",
            "country_code": "US",
            "postal_code": "592703521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shari Jean Twigg, M.D.
• Susan Vanevery, PHARMD, BCPS
• Timothy Patrick Wagner, RPH
• White Drug Enterprises Inc (White Drug #25)
• Patricia Ann Whitford

• Family Nurse Practitioner in Sidney, MT
• Providers in Sidney, MT by specialty
• Family Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.