Individual provider Active NPI

Gretchen M Wienecke, MD

  • Pain Medicine Physician
  • Edmond, OK
National Provider Identifier
1861460198
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
20186 Issued in OK
Practice address
3957 E Covell Rd
Edmond, OK 73034-6909
Phone
(405) 285-7246
Fax
(405) 513-8143
NPI assigned
Mar 11, 2006
Last updated
Jul 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 20186 OK
Pain Medicine Physician 208VP0000X 20186 OK Primary

Addresses

Primary practice location

3957 E Covell Rd
Edmond, OK 73034-6909

Mailing address

3957 E Covell Rd
Edmond, OK 73034-6909
Phone (405) 285-7246

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060223000541 OK Practitioner - Anesthesiology 8820004138 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Oklahoma College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bruce a Mackey MD PCGroup PAC ID 5395837736, 4 clinicians

Practice addresses (Care Compare)

3957 E Covell Rd
Edmond, OK 73034-6909
Phone (405) 285-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20186OKMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Feb 1, 2006 Accepting new patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
Bruce a Mackey MD PC Pain Medicine CurrentSince Feb 17, 2025 Accepting new patients
Osh Pain Management Associates, LLC CurrentSince Jun 26, 2023 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Feb 1, 2006 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

3957 E Covell Rd
Edmond, OK 73034
Phone (405) 285-7246

14100 Parkway Commons Dr
Ste 201
Oklahoma City, OK 73134
Phone (405) 242-4720

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

14024 Quail Pointe Dr
Oklahoma City, OK 73134
Phone (405) 419-8447

825 NE 10th St
Ste 2B
Oklahoma City, OK 73104

825 NE 13th St
Oklahoma City, OK 73104
Phone (405) 271-1500

825 NE 10th St
#4300
Oklahoma City, OK 73104
Phone (405) 271-3050

825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864

Organizations & group practices 7

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": "1142035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1861460198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3957 E COVELL RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346909",
            "telephone_number": "405-285-7246",
            "fax_number": "405-513-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3957 E COVELL RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346909",
            "telephone_number": "405-285-7246",
            "fax_number": "405-513-8143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENECKE",
        "first_name": "GRETCHEN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-11",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OK",
            "license": "20186",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OK",
            "license": "20186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.