Mewinzha Ondaadiziike Wiigaming

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

R-158189-0 Issued in MN

Legal business name

MEWINZHA ONDAADIZIIKE WIIGAMING

Practice address

802 Paul Bunyan Dr S Ste 12&13
Bemidji, MN 56601-3201

Phone

(218) 444-4323

Fax

(218) 444-7514

NPI assigned

Jul 19, 2017

Last updated

Jul 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Millicent Simenson, LPN

Title

Founder/President

Phone

(218) 556-1961

Specialties & licenses 9

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Natalie M. Nicholson, NP

  • Nurse Practitioner
  • Bemidji, MN
  • NPI 1962634691
  Medicare reassignment NPD
• Roxanne Marie Johnson, RD

  • Registered Dietitian
  • Bemidji, MN
  • NPI 1366686289
  NPD
• Pearl Walker-Swaney

  • Doula
  • Bemidji, MN
  • NPI 1972201531
  NPD
• Katherine Rose Danielson, CNM

  • Advanced Practice Midwife
  • Bemidji, MN
  • NPI 1598257297
  NPD (past)

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1619490893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 PAUL BUNYAN DR S STE 12",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013204",
            "telephone_number": "218-444-4323",
            "fax_number": "218-444-7514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 PAUL BUNYAN DR S STE 12&13",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013201",
            "telephone_number": "218-444-4323",
            "fax_number": "218-444-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEWINZHA ONDAADIZIIKE WIIGAMING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "SIMENSON",
        "authorized_official_first_name": "MILLICENT",
        "authorized_official_title_or_position": "FOUNDER/PRESIDENT",
        "authorized_official_telephone_number": "218-556-1961",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "MN",
            "license": "R-158189-0",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MN",
            "license": "R-158189-0",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MN",
            "license": "R-158189-0",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "MN",
            "license": "R-158189-0",
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "MN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Mertens
• Nathan Henry Mertens
• Ashley Kay Metcalf, DDS
• Metropolitan Transportation LLC
• Danielle Kay Metteer, LADC
• Mewinzha Ondaadiziike Wiigaming
• Jeffrey Meyer
• Melissa Sue Meyer, PA-C
• Sarah Michalicek
• Pamela Jean Michaud, MH PRACITIONER

• Obstetrics & Gynecology Nurse Practitioner in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Obstetrics & Gynecology Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.