Lorie R Wendt, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

277001432 Issued in IL

Practice address

2323 Sandhutton Ave
Rockford, IL 61108-8087

Phone

(815) 566-2052

Fax

(779) 888-8084

NPI assigned

May 25, 2010

Sex

Female

Sole proprietor

Yes

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.

• Lorie Rose Wendt, PLLC

  • Nurse Practitioner
  • Rockford, IL
  • NPI 1790568467
  NPD

Medicare fee-for-service enrollment

Enrolled in IL

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 13, 2023.

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1831418243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 SANDHUTTON AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611088087",
            "telephone_number": "815-566-2052",
            "fax_number": "779-888-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 SANDHUTTON AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611088087",
            "telephone_number": "815-566-2052",
            "fax_number": "779-888-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDT",
        "first_name": "LORIE",
        "middle_name": "R",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-25",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "277001432",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277001432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellness & Transformation LLC
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• Kimberly Welsh, LCSW
• Thomas Peter Wentland, MD
• Bailey Ann Wentworth, MD
• Stephanie Ann Werner, MD
• West Point Optical Group
• Nancy K West, LCSW

• All providers in Rockford, IL
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.