Individual provider Active NPI

Melissa A Wegner, APN, FNP

  • Family Nurse Practitioner
  • Barrington, IL
National Provider Identifier
1801339981
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209015134 Issued in IL
Practice address
405 Lake Zurich Rd
Barrington, IL 60010-3141
Phone
(847) 381-5599
Fax
(847) 381-1431
NPI assigned
Nov 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209015134 IL Primary

Addresses

Primary practice location

405 Lake Zurich Rd
Barrington, IL 60010-3141

Mailing address

405 Lake Zurich Rd
Barrington, IL 60010-3141
Phone (847) 381-5599

Other identifiers 1

IdentifierTypeStateIssuer
041375763OtherILRN LICENSE

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1801339981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 LAKE ZURICH RD",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103141",
            "telephone_number": "847-381-5599",
            "fax_number": "847-381-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 LAKE ZURICH RD",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103141",
            "telephone_number": "847-381-5599",
            "fax_number": "847-381-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGNER",
        "first_name": "MELISSA",
        "middle_name": "A",
        "credential": "APN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209015134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "041375763",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.