Rachel Wiedenfeld

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

7001 A St Ste 110
Lincoln, NE 68510-4299

Phone

(402) 489-0800

NPI assigned

Mar 2, 2020

Sex

Female

Sole proprietor

Yes

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 NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: rwiedenfeld@pediatricspc.opdirect.net

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.

• Grand Island Ear, Nose & Throat PC

  • Otolaryngology Physician
  • Grand Island, NE
  • NPI 1841486479
  Medicare reassignment

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1760016521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 A ST STE 110",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 A ST STE 110",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104299",
            "telephone_number": "402-489-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEDENFELD",
        "first_name": "RACHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lance Wiebusch, MD
• Jozy Wiechman
• Wiedel Behavioral Health LLC
• Ashley Wiedel, D.C., B.S.
• Karla Nichole Wiedel, MA LIMHP LADC
• Courtney Marie Wiegand
• Carrie L Wiegert, APRN
• Shawn M Wiegert
• Julie Marie Wiekamp, PA
• Lisa Wieman-Schulz, PT

• Physician Assistant in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.