Active NPI
Carrie Ann Wesely, MD
- Internal Medicine Physician
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 61936
- Practice address
- 640 Jackson St
Saint Paul, MN 55101-2502 - Phone
- (651) 254-3456
- Fax
- (651) 254-9673
- NPI assigned
- Mar 26, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 67327 | WI | |
| Internal Medicine Physician | 207R00000X | 61936 | MN | Primary |
Addresses
Primary practice location
640 Jackson St
Saint Paul, MN 55101-2502
Mailing address
PO Box 1309
Ms 21110Q
Minneapolis, MN 55440-1309
Phone (651) 254-3456
Other practice location 1
13001 E. 17th Place
University of Colorado Denver School of Medicine GME
Aurora, CO 80045
Phone (303) 724-6031
Other names 1
- Carrie Ann Evavold
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Minnesota Medical School, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Healthpartners RC
Practice addresses (Care Compare)
100 Healthy Way
Olivia, MN 56277-1117
Phone (320) 523-1460
1500 Curve Crest W Blvd
Stillwater, MN 55082-6040
Phone (651) 439-1234
235 E State St
Saint Croix Falls, WI 54024-4117
Phone (715) 483-3221
265 Griffin St E
Amery, WI 54001-1439
Phone (715) 268-8000
535 Hospital Rd
New Richmond, WI 54017-1449
Phone (715) 243-2600
Hospital & facility affiliations
- Regions Hospital
- Westfields Hospital and Clinic
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67327 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Croix Regional Medical Center | Current | Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Healthpartners RC | Current | Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Hudson Hospital, Inc. | Current | Accepting new patients | |
| Healthpartners RC | Current | Accepting new patients | |
| Healthpartners RC | Current | Accepting new patients | |
| Westfields Hospital, Inc | Current | Accepting new patients | |
| Hudson Hospital, Inc. | Current | Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Hutchinson Health | Current | Accepting new patients | |
| Westfields Hospital, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| St. Croix Regional Medical Center | Current | Accepting new patients | |
| Regions Hospital | Past | Accepting new patients |
Locations
1029 Highway 15 S
Hutchinson, MN 55350
Phone (320) 275-3358
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600
100 Healthy Way
Olivia, MN 56277
Phone (320) 523-1261
640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164
1500 Curve Crest Blvd W
Stillwater, MN 55082
265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301
405 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000
535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013
216 S Adams St
St Croix Fls, WI 54024
Phone (715) 483-0426
235 E State St
St Croix Fls, WI 54024
Phone (715) 483-3221
Organizations & group practices 16
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.
-
- General Practice Dentistry
- Saint Paul, MN
- NPI 1952042053
-
- Rural Health Clinic/Center
- Clear Lake, WI
- NPI 1366878449
-
- Rural Health Clinic/Center
- Luck, WI
- NPI 1851345268
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640044800000",
"number": "1851718993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1309",
"address_2": "MS 21110Q",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554401309",
"telephone_number": "651-254-3456",
"fax_number": "651-254-9673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 JACKSON ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551012502",
"telephone_number": "651-254-3456",
"fax_number": "651-254-9673"
}
],
"practiceLocations": [
{
"address_1": "13001 E. 17th Place",
"address_2": "University of Colorado Denver School of Medicine GME",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "80045",
"country_code": "US",
"telephone_number": "303-724-6031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WESELY",
"first_name": "CARRIE",
"middle_name": "ANN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-26",
"last_updated": "2021-12-21",
"certification_date": "2021-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "67327",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "61936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARRIE",
"last_name": "EVAVOLD",
"middle_name": "ANN",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.