Active NPI
Wendy J Riekers, PA-C
- Medical Physician Assistant
- Annapolis, MD
National Provider Identifier
1649211343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- C02051
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 947004200 | Medicaid | MD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2793 | AZ | MD | Occupational Therapist |
| C02051 | MD | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Internal Medicine Physician
- Annapolis, MD
- NPI 1255417200
-
- Specialist
- Tucson, AZ
- NPI 1578587671
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.