Jeffrey Allen Wilt, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

50360 Issued in MN

Practice address

300 W Conan St
Ely, MN 55731-1145

Phone

(218) 365-7900

NPI assigned

Nov 16, 2006

Last updated

May 5, 2011By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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 1

Specialty

Family Practice

Education

University of Minnesota Medical School, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Essentia Health Virginia LLCGroup PAC ID 7810149002, 64 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ely - Bloomenson Community Hospital Hospital, Ely, MN, CCN 241318
• Essentia Health Virginia Hospital, Virginia, MN, CCN 240084
• Ely - Bloomenson Community Hospital Nursing home, CCN 24Z318

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.

• Essentia Health Virginia, LLC

  dba Essentia Health Virginia

  • General Acute Care Hospital
  • Virginia, MN
  • NPI 1083617120
  Medicare reassignment Care Compare group NPD
• Ely-Bloomenson Community Hospital

  • Critical Access Hospital
  • Ely, MN
  • NPI 1770542904
  Medicare reassignment NPD
• Essentia Health Virginia, LLC

  dba Essentia Health International Falls Clinic

  • Multi-Specialty Clinic/Center
  • International Falls, MN
  • NPI 1386682045
  NPD

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

• Ely-Bloomenson Community Hospital

  • Critical Access Hospital
  • Ely, MN
  • NPI 1770542904
  Care Compare affiliation
• Essentia Health Virginia, LLC

  dba Essentia Health Virginia

  • General Acute Care Hospital
  • Virginia, MN
  • NPI 1083617120
  Care Compare affiliation

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304553600000",
    "number": "1720151004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W CONAN ST",
            "city": "ELY",
            "state": "MN",
            "postal_code": "557311145",
            "telephone_number": "218-365-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W CONAN ST",
            "city": "ELY",
            "state": "MN",
            "postal_code": "557311145",
            "telephone_number": "218-365-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILT",
        "first_name": "JEFFREY",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2011-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "50360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• White Pines Play Collaborative
• Spencer Wihlm, DDS
• William J Scott DDS PA
• Kathleen Michelle Willis, COMMUNITY HEALTH WOR
• Beth Wilmunen, PHARMD
• Margaret Eileen York-Jesme

• Family Medicine Physician in Ely, MN
• Providers in Ely, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; 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.