Individual provider Active NPI

Wendy L Mink, FNP-BC

  • Family Nurse Practitioner
  • Germantown, TN
National Provider Identifier
1871075994
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24593 Issued in TN
Practice address
7205 Wolf River Blvd Ste 150
Germantown, TN 38138-1776
Phone
(901) 866-8716
Fax
(901) 752-2018
NPI assigned
Sep 5, 2018
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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 24593 TN Primary

Addresses

Primary practice location

7205 Wolf River Blvd Ste 150
Germantown, TN 38138-1776

Mailing address

1068 Cresthaven Rd Ste 250
Memphis, TN 38119-0809
Phone (901) 685-3490

Other practice location 1

1068 Cresthaven Rd Ste 250
Memphis, TN 38119-0809
Phone (901) 685-3490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200417000416 TN Practitioner - Nurse Practitioner 4880024736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McDonald Murrmann Center for Womens HealthGroup PAC ID 8820342645, 5 clinicians

Practice addresses (Care Compare)

7205 Wolf River Blvd
Suite 150
Germantown, TN 38138-1776
Phone (901) 752-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
24593TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McDonald Murrmann Center for Womens Health CurrentSince Feb 1, 2020 Accepting new patients

Locations

7205 Wolf River Blvd
Ste 150
Germantown, TN 38138
Phone (901) 752-4000

Interoperability endpoints

  • Direct secure messaging: mcdonaldmurrmancenter.wendymink@138606.advancedmd-direct.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1871075994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 CRESTHAVEN RD STE 250",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190809",
            "telephone_number": "901-685-3490",
            "fax_number": "901-685-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 WOLF RIVER BLVD STE 150",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381776",
            "telephone_number": "901-866-8716",
            "fax_number": "901-752-2018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1068 Cresthaven Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381190809",
            "country_code": "US",
            "telephone_number": "901-685-3490",
            "fax_number": "901-685-3499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINK",
        "first_name": "WENDY",
        "middle_name": "L",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "24593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.