Wayne L Washenberger, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0497 Issued in SD

Practice address

701 8TH Ave NW Ste a
Aberdeen, SD 57401-1865

Phone

(605) 226-2663

Fax

(605) 226-2663

NPI assigned

Nov 18, 2005

Last updated

Dec 15, 2009By the provider in NPPES

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in SD

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 1

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

May accept Medicare assignment

Group practices

Bowdle HospitalGroup PAC ID 9335056902, shared by 4 NPIs, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bowdle Hospital - Cah Hospital, Bowdle, SD, CCN 431318
• Avera St Lukes Hospital, Aberdeen, SD, CCN 430014
• Faulkton Area Medical Center Hospital, Faulkton, SD, CCN 431301
• Bowdle Nursing Home Nursing home, Bowdle, SD, CCN 435107
• Bowdle Hospital - Cah Nursing home, CCN 43Z318

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: wayne.washenberger@avera.sdhealthlink.net

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.

• Bowdle Hospital

  • Critical Access Hospital
  • Bowdle, SD
  • NPI 1669418877
  Medicare reassignment NPD
• Bowdle Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Bowdle, SD
  • NPI 1003999152
  NPD
• Bowdle Clinic

  • Clinic/Center
  • Bowdle, SD
  • NPI 1922171057
  NPD (past)

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

• Avera St Lukes

  • General Acute Care Hospital
  • Aberdeen, SD
  • NPI 1457309270
  Care Compare affiliation
• Bowdle Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Bowdle, SD
  • NPI 1003999152

  Nursing home

  Care Compare affiliation
• Bowdle Hospital

  dba Bowdle Nursing Home

  • Skilled Nursing Facility
  • Bowdle, SD
  • NPI 1174610505

  Nursing home

  Care Compare affiliation
• Bowdle Hospital

  • Critical Access Hospital
  • Bowdle, SD
  • NPI 1669418877
  Care Compare affiliation
• Faulkton Area Medical Center

  • General Acute Care Hospital
  • Faulkton, SD
  • NPI 1245212877
  Care Compare affiliation

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1619959236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1474",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574021474",
            "telephone_number": "605-226-2663",
            "fax_number": "605-226-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 8TH AVE NW STE A",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574011865",
            "telephone_number": "605-226-2663",
            "fax_number": "605-226-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHENBERGER",
        "first_name": "WAYNE",
        "middle_name": "L",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6823642",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bo Wang, MD, PHD
• Kevin C Ward, D.O.
• Richard Allen Ward III
• Peter Joseph Warhol, M.D.
• Ellen C Washenberger, LPCMH
• Timothy Roy Waterman, MD
• Claire Wattier, FNP-C
• Webb Company Inc.
• Jonathan Webb, PEDORTHIST
• Christa M Weber, OT

• Physician Assistant in Aberdeen, SD
• Providers in Aberdeen, SD by specialty
• Physician Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.