Wade H Nedderman, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

69643 Issued in MN

Practice address

200 1St St SW
Rochester, MN 55905-0001

Phone

(507) 284-2511

NPI assigned

Mar 25, 2020

Last updated

Aug 7, 2023By 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 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN, TX, AZ3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Diagnostic RadiologyAlso: Interventional Radiology

Education

Texas a & M University System, HSC, College of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brainerd Medical Center IncGroup PAC ID 0648270272, 29 clinicians

Kingman Healthcare IncGroup PAC ID 6901791367, 185 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Essentia Health St Joseph's Medical Center Hospital, Brainerd, MN, CCN 240075
• Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055
• Mayo Clinic Hospital Rochester Hospital, Rochester, MN, CCN 240010

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Brainerd Medical Center Inc

  dba Essentia Health Brainerd Specialty Clinic

  • General Practice Physician
  • Brainerd, MN
  • NPI 1295801777
  Medicare reassignment Care Compare group NPD
• Kingman Healthcare, Inc

  dba Kingman Regional Medical Center

  • General Acute Care Hospital
  • Kingman, AZ
  • NPI 1265423917

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Mayo Clinic

  • Multi-Specialty Clinic/Center
  • Rochester, MN
  • NPI 1922074434
  Medicare reassignment NPD
• Mayo Clinic Health System-Southeast Minnesota Region

  dba Mayo Clinic Health System-Albert Lea and Austin

  • Multi-Specialty Clinic/Center
  • Albert Lea, MN
  • NPI 1891701637
  Medicare reassignment NPD
• Mayo Clinic Health System-Southwest Minnesota Region

  dba Mayo Clinic Health System-New Prague

  • Critical Access Hospital
  • New Prague, MN
  • NPI 1124035282
  Medicare reassignment NPD
• Mayo Clinic Health System-Southwest Minnesota Region

  dba Mayo Clinic Health System - Mankato

  • Multi-Specialty Clinic/Center
  • Mankato, MN
  • NPI 1578545422
  Medicare reassignment NPD
• Navajo Health Foundation-Sage Memorial Hospital, Inc.

  dba Sage Memorial Physicians

  • Rural Acute Care Hospital
  • Ganado, AZ
  • NPI 1477735777
  Medicare reassignment NPD
• Texas Radiology Associates LLP

  • Diagnostic Radiology Physician
  • Plano, TX
  • NPI 1427016161

  MN

  Medicare reassignment NPD
• Brainerd Medical Center Inc

  dba Essentia Health - Baxter Specialty Clinic

  • General Practice Physician
  • Baxter, MN
  • NPI 1700162328
  NPD
• Brainerd Medical Center Inc.

  dba Essentia Health Staples Pharmacy

  • Clinic Pharmacy
  • Staples, MN
  • NPI 1972350486
  NPD
• Mayo Clinic

  • Clinical Medical Laboratory
  • Rochester, MN
  • NPI 1083249577
  NPD
• Mayo Clinic Health System-Southeast Minnesota Region

  dba Mayo Clinic Health System-Red Wing

  • Multi-Specialty Clinic/Center
  • Red Wing, MN
  • NPI 1114453883
  NPD

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

• Mayo Clinic Hospital-Rochester

  • General Acute Care Hospital
  • Rochester, MN
  • NPI 1841266194
  Care Compare affiliation
• St. Joseph's Medical Center

  dba Essentia Health St. Joseph's -Brainerd Clinic

  • General Practice Physician
  • Brainerd, MN
  • NPI 1184866956

  Hospital

  Care Compare affiliation
• St. Joseph's Medical Center

  dba St. Joseph's Medical Center Anesthesia Associates

  • Anesthesiology Physician
  • Brainerd, MN
  • NPI 1336465038

  Hospital

  Care Compare affiliation
• St. Joseph's Medical Center

  dba Essentia Health St. Joseph's-Crosslake Clinic

  • Primary Care Clinic/Center
  • Crosslake, MN
  • NPI 1477509776

  Hospital

  Care Compare affiliation
• St. Joseph's Medical Center

  dba Essentia Health St. Joseph's Emily Clinic

  • Multi-Specialty Clinic/Center
  • Emily, MN
  • NPI 1538571914

  Hospital

  Care Compare affiliation
• St. Joseph's Medical Center

  dba Essentia Health-St. Joseph's Medical Center

  • General Acute Care Hospital
  • Brainerd, MN
  • NPI 1568415974
  Care Compare affiliation
• St. Joseph's Medical Center

  dba Essentia Health St. Joseph's-Pierz Clinic

  • Primary Care Clinic/Center
  • Pierz, MN
  • NPI 1568418861

  Hospital

  Care Compare affiliation
• St. Joseph's Medical Center

  dba Essentia Health St. Joseph's-Pine River Clinic

  • Primary Care Clinic/Center
  • Pine River, MN
  • NPI 1649223603

  Hospital

  Care Compare affiliation
• St. Joseph's Medical Center

  dba Essentia Health St. Joseph's-Pequot Lakes Clinic

  • Primary Care Clinic/Center
  • Pequot Lakes, MN
  • NPI 1730134891

  Hospital

  Care Compare affiliation
• St. Joseph's Medical Center

  dba Essentia Health St. Joseph's-Lakeland Psychiatry Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brainerd, MN
  • NPI 1740393032

  Hospital

  Care Compare affiliation
• St. Joseph's Medical Center

  dba Essentia Health St. Joseph's-Pillager Clinic

  • Primary Care Clinic/Center
  • Pillager, MN
  • NPI 1891740957

  Hospital

  Care Compare affiliation
• Kingman Healthcare, Inc

  dba Kingman Regional Medical Center

  • General Acute Care Hospital
  • Kingman, AZ
  • NPI 1265423917
  Care Compare affiliation

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1649807181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "507-284-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "507-284-2511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 S 31st St",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765080001",
            "country_code": "US",
            "telephone_number": "254-724-2364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEDDERMAN",
        "first_name": "WADE",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "69643",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MN",
            "license": "69643",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wnedderman1425064@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "200 1st St SW",
            "city": "Rochester",
            "state": "MN",
            "country_code": "US",
            "postal_code": "559050001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lonzetta Neal, M.D.
• Michelle A Neben Wittich, M.D.
• Ladella Grace Neblett, M.S. CF-SLP
• Michael F. Neblett II, M.D.
• Todd Neblett, PAC
• Geir I Nedredal, MD
• Adrienne Nedved, PHARMD, MPA, BCOP
• Harry Bryan Neel III, M.D., PHD
• Ingrid V Neel
• Brian A Neff, M.D.

• Diagnostic Radiology Physician in Rochester, MN
• Providers in Rochester, MN by specialty
• Diagnostic Radiology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.