Individual provider Active NPI

Patricia Anne Wendel, DC

  • Chiropractor
  • Wilmington, DE
National Provider Identifier
1871674325
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
FL-0000557 Issued in DE
Practice address
1701 Augustine Cut Off
BLD 1 Suite 5
Wilmington, DE 19803-4415
Phone
(302) 593-0031
Fax
(302) 793-1636
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X FL-0000557 DE Primary
Chiropractor 111N00000X 3113 GA

Addresses

Primary practice location

1701 Augustine Cut Off
BLD 1 Suite 5
Wilmington, DE 19803-4415

Mailing address

PO Box 4480
Greenville, DE 19807-0480
Phone (302) 593-0031

Other names 1

  • Dr. Patricia Anne Kershner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070709000123 DE Practitioner - Chiropractic 6002916053 Practice locations: Middletown, DE; Wilmington, DE

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

222 Carter Dr
Suite 103
Middletown, DE 19709-5856
Phone (302) 593-0031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
FL-0000557DEMDChiropractor
3113GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Medical Associates, P.a. PastSince Jul 16, 2007 Accepting new patients
Back to Intelligent Design, LLC Chiropractor Past Accepting new patients
Img Associates LLC PastSince Dec 27, 2016 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/1e751165-d0f5-47ed-aa9b-1a8abb55d1d6/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1871674325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4480",
            "city": "GREENVILLE",
            "state": "DE",
            "postal_code": "198070480",
            "telephone_number": "302-593-0031",
            "fax_number": "302-792-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 AUGUSTINE CUT OFF",
            "address_2": "BLD 1 SUITE 5",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198034415",
            "telephone_number": "302-593-0031",
            "fax_number": "302-793-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDEL",
        "first_name": "PATRICIA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "FL-0000557",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "3113",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "KERSHNER",
            "middle_name": "ANNE",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.