Individual provider Active NPI

Wendy J Riekers, PA-C

  • Medical Physician Assistant
  • Annapolis, MD
National Provider Identifier
1649211343
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C02051 Issued in MD
Practice address
1000 Bestgate Rd Ste 400
Annapolis, MD 21401
Phone
(410) 266-2720
NPI assigned
Jun 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C02051 MD Primary

Addresses

Primary practice location

1000 Bestgate Rd Ste 400
Annapolis, MD 21401

Mailing address

1000 Bestgate Rd Ste 400
Annapolis, MD 21401-3371
Phone (410) 266-2720

Other practice location 1

2625 N Craycroft Rd
Ste 201
Tucson, AZ 85712-2268
Phone (520) 324-4778

Other identifiers 1

IdentifierTypeStateIssuer
947004200MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
2793AZMDOccupational Therapist
C02051MDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Oncology Associates PC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Maryland Inpatient Care Specialists LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: wriekers557252@direct.hopkinsmedicine.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1649211343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BESTGATE RD STE 400",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013371",
            "telephone_number": "410-266-2720",
            "fax_number": "410-224-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BESTGATE RD STE 400",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21401",
            "telephone_number": "410-266-2720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2625 N Craycroft Rd",
            "address_2": "Ste 201",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857122268",
            "country_code": "US",
            "telephone_number": "520-324-4778",
            "fax_number": "520-324-2469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIEKERS",
        "first_name": "WENDY",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C02051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "947004200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.