Active NPI
Josephine Annette Wigert, R.N.
- Community Health Worker
- New York Mills, MN
National Provider Identifier
1740419696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- R108120-6
- Practice address
- 118 North Main St.
New York Mills, MN 56567 - Phone
- (218) 385-5500
- NPI assigned
- Jul 13, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | R108120-6 | MN | Primary |
Addresses
Primary practice location
118 North Main St.
New York Mills, MN 56567
Mailing address
PO Box 99
New York Mills, MN 56567-0099
Phone (218) 385-5500
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R108120-6 | MN | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Otter Tail County Public Health | Past | Accepting new patients | |
| Otter Tail County Auditor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Public Health or Welfare Agency
- Fergus Falls, MN
- NPI 1023001260
-
- Public Health or Welfare Agency
- New York Mills, MN
- NPI 1164730362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247443200000",
"number": "1740419696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 99",
"city": "NEW YORK MILLS",
"state": "MN",
"postal_code": "565670099",
"telephone_number": "218-385-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 NORTH MAIN ST.",
"city": "NEW YORK MILLS",
"state": "MN",
"postal_code": "56567",
"telephone_number": "218-385-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIGERT",
"first_name": "JOSEPHINE",
"middle_name": "ANNETTE",
"name_prefix": "Mrs.",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-13",
"last_updated": "2009-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "MN",
"license": "R108120-6",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York Mills, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.