Individual provider Active NPI

Jennifer Linn Wentzel, M.D., M.S.

  • Surgery Physician
  • Lucedale, MS
National Provider Identifier
1871905331
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
31407 Issued in MS
Practice address
57 Ratliff St
Lucedale, MS 39452-5731
Phone
(601) 766-0308
Fax
(601) 766-0309
NPI assigned
Jun 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MMD.36943 LL SC
Surgery Physician 208600000X 34714 OK
Surgery Physician 208600000X 31407 MS Primary

Addresses

Primary practice location

57 Ratliff St
Lucedale, MS 39452-5731

Mailing address

PO Box 1007
Lucedale, MS 39452-1007
Phone (601) 766-0308

Other practice location 1

3315 Kethley Rd
Shawnee, OK 74804-9638
Phone (405) 273-5801

Other names 1

  • Mrs. Jennifer Linn McGhee Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20230424000017 MS Practitioner - General Surgery 5294957189 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Commonwealth Medical College, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Surgical Center Dr. David CrumpGroup PAC ID 3779534318, 2 clinicians

Practice addresses (Care Compare)

57 Dewey St
Lucedale, MS 39452-5707
Phone (601) 766-0308

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy34
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux22
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31407MSMDSurgery Physician
34714OKMDSurgery Physician
MMD.36943 LLSCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
George County Hospital Current Accepting new patients
Community Surgical Center Dr. David Crump Surgery CurrentSince Jun 1, 2023 Accepting new patients
George Regional ER Physicians CurrentSince Jun 1, 2023 Accepting new patients
Community Surgical Center Surgery Past Accepting new patients

Locations

57 Ratliff St
Lucedale, MS 39452
Phone (601) 673-4625

859 Winter St
Lucedale, MS 39452
Phone (601) 766-4286

57 Dewey St
Lucedale, MS 39452
Phone (601) 766-0308

Interoperability endpoints

  • Direct secure messaging: jenniferwentzel@communitym.allscriptsdirect.net
  • Direct secure messaging: jenniferwentzel@grh.medalliesdirect.net

Organizations & group practices 4

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.

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": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1871905331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1007",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394521007",
            "telephone_number": "601-766-0308",
            "fax_number": "601-766-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 RATLIFF ST",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394525731",
            "telephone_number": "601-766-0308",
            "fax_number": "601-766-0309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3315 Kethley Rd",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "OK",
            "postal_code": "748049638",
            "country_code": "US",
            "telephone_number": "405-273-5801",
            "fax_number": "053-955-9264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENTZEL",
        "first_name": "JENNIFER",
        "middle_name": "LINN",
        "name_prefix": "Dr.",
        "credential": "M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "MMD.36943 LL",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "34714",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "31407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MCGHEE",
            "middle_name": "LINN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lucedale, MS

Sources for this page

Verify at the official NPI Registry.