Individual provider Active NPI

Angela Rose Woelpern, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Chippewa Falls, WI
National Provider Identifier
1669603288
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2948 Issued in MN
Practice address
18341 120TH Ave
Chippewa Falls, WI 54729-3365
Phone
(218) 340-3363
NPI assigned
Jul 30, 2009
Last updated
Jan 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2948 MN Primary
Registered Nurse 163W00000X R 141575-9 MN

Addresses

Primary practice location

18341 120TH Ave
Chippewa Falls, WI 54729-3365

Mailing address

18341 120TH Ave
Chippewa Falls, WI 54729-3365
Phone (218) 340-3363

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

State licenses

LicenseStateTypeSpecialty
R 141575-9MNMDRegistered Nurse
2948MNMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1669603288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18341 120TH AVE",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547293365",
            "telephone_number": "218-340-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18341 120TH AVE",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547293365",
            "telephone_number": "218-340-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOELPERN",
        "first_name": "ANGELA",
        "middle_name": "ROSE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-30",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "2948",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R 141575-9",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chippewa Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.