Individual provider Active NPI

Jeanna Wizner, HID

  • Hearing Instrument Specialist
  • Bemidji, MN
National Provider Identifier
1679088397
Registry record updated Dec 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2810 Issued in MN
Practice address
1710 Paul Bunyan Dr NW Ste 106
Bemidji, MN 56601-2132
Phone
(218) 444-0875
Fax
(218) 444-0876
NPI assigned
Dec 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 2810 MN Primary

Addresses

Primary practice location

1710 Paul Bunyan Dr NW Ste 106
Bemidji, MN 56601-2132

Mailing address

1710 Paul Bunyan Dr NW Ste 106
Bemidji, MN 56601-2132
Phone (218) 444-0875

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mid West Hearing LLC Hearing Instrument Specialist Past Accepting new patients

Organizations & group practices 1

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": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512345600000",
    "number": "1679088397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 PAUL BUNYAN DR NW STE 106",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566012132",
            "telephone_number": "218-444-0875",
            "fax_number": "218-444-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 PAUL BUNYAN DR NW STE 106",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566012132",
            "telephone_number": "218-444-0875",
            "fax_number": "218-444-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIZNER",
        "first_name": "JEANNA",
        "name_prefix": "Ms.",
        "credential": "HID",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MN",
            "license": "2810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.