NPIMap

Individual provider Active NPI

Adam D Weichelt, PA-C

  • Medical Physician Assistant
  • Wadena, MN
National Provider Identifier
1760721567
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
11301 Issued in MN
Practice address
415 Jefferson St North
Tri-County Health Care
Wadena, MN 56482-1296
Phone
(218) 631-3510
Fax
(218) 631-7507
NPI assigned
Feb 14, 2013
Last updated
Oct 24, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1870 MN
Medical Physician Assistant 363AM0700X 11301 MN Primary
Surgical Physician Assistant 363AS0400X 1870 MN

Addresses

Primary practice location

415 Jefferson St North
Tri-County Health Care
Wadena, MN 56482-1296

Mailing address

415 Jefferson St North
Tri-County Hospital
Wadena, MN 56482-1296
Phone (218) 631-3510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130320000549 MN Practitioner - Physician Assistant 1557506672 Reassigns benefits to 9 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Glacial Ridge Hospital District CurrentSince Jun 15, 2022 Accepting new patients
County of Meeker CurrentSince Dec 24, 2021 Accepting new patients
Centracare Health System - Long Prairie CurrentSince Sep 1, 2017 Accepting new patients
Centracare Health System - Sauk Centre CurrentSince Aug 6, 2023 Accepting new patients
Glacial Ridge Hospital District CurrentSince Jun 15, 2022 Accepting new patients
Centracare Health System - Sauk Centre CurrentSince Aug 6, 2023 Accepting new patients
County of Meeker CurrentSince Dec 24, 2021 Accepting new patients
Centracare Health System - Melrose CurrentSince Aug 6, 2023 Accepting new patients
Centracare Health System - Melrose CurrentSince Aug 6, 2023 Accepting new patients
Centracare Health System - Sauk Centre CurrentSince Jan 18, 2026 Accepting new patients
County of Meeker Past Accepting new patients

Locations

10 4th Ave SE
Glenwood, MN 56334
Phone (320) 634-5157

417 Franklin St S
Glenwood, MN 56334
Phone (320) 634-5157

612 S Sibley Ave
Litchfield, MN 55355
Phone (320) 693-3242

50 Centracare Dr
Long Prairie, MN 56347
Phone (320) 732-2131

525 Main St W
Melrose, MN 56352
Phone (320) 256-4228

200 W 1st St
Paynesville, MN 56362
Phone (320) 243-3767

425 Elm St N
Sauk Centre, MN 56378
Phone (320) 352-2221

Interoperability endpoints

  • Direct secure messaging: aweichelt274639@direct.centracare.com
  • FHIR API: https://fhir-usa.unify.chbase.com/org/glac-1755385c

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1760721567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 JEFFERSON ST NORTH",
            "address_2": "TRI-COUNTY HOSPITAL",
            "city": "WADENA",
            "state": "MN",
            "postal_code": "564821296",
            "telephone_number": "218-631-3510",
            "fax_number": "218-631-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 JEFFERSON ST NORTH",
            "address_2": "TRI-COUNTY HEALTH CARE",
            "city": "WADENA",
            "state": "MN",
            "postal_code": "564821296",
            "telephone_number": "218-631-3510",
            "fax_number": "218-631-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEICHELT",
        "first_name": "ADAM",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-14",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "1870",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "11301",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MN",
            "license": "1870",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadena, MN

Sources for this page

Verify at the official NPI Registry.