Active NPI
Patricia Anne Wendel, DC
- Chiropractor
- Wilmington, DE
National Provider Identifier
1871674325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- FL-0000557
- 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
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 |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FL-0000557 | DE | MD | Chiropractor |
| 3113 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heritage Medical Associates, P.a. | Past | Accepting new patients | |
| Back to Intelligent Design, LLC | Chiropractor | Past | Accepting new patients |
| Img Associates LLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Chiropractor
- Claymont, DE
- NPI 1306960927
-
- Family Medicine Physician
- Wilmington, DE
- NPI 1609073493
-
- Specialist
- Merrillville, IN
- NPI 1134424351
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.