Courtney Lynn Wendler, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10912-33 Issued in WI

Practice address

610 N Superior St
De Pere, WI 54115-2646

Phone

(920) 915-5970

NPI assigned

Apr 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Courtney Lynn Vandenberg Former name

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urology Associates of Green Bay SCGroup PAC ID 1658350616, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bellin Memorial Hospital Hospital, Green Bay, WI, CCN 520049

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cwendler978498@direct.emplifyhealth.org
• Direct secure messaging: cvandenberg163996@direct.thedacare.org

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.

• Urology Associates of Green Bay, S.C.

  • Specialist
  • De Pere, WI
  • NPI 1427067263
  Medicare reassignment Care Compare group NPD
• Urology Associates of Green Bay, SC

  • Medical Specialty Clinic/Center
  • Marinette, WI
  • NPI 1043699036
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bellin Memorial Hospital Inc.

  • General Acute Care Hospital
  • Green Bay, WI
  • NPI 1891740585
  Care Compare affiliation

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1881276558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 NORTH SUPERIOR STREET",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "54115",
            "telephone_number": "920-915-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N SUPERIOR ST",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541152646",
            "telephone_number": "920-915-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDLER",
        "first_name": "COURTNEY",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "10912-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "VANDENBERG",
            "middle_name": "LYNN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Haily Walker
• Robert Elwood Wampler, MD
• Leah Watermolen
• Kurt Andrew Weber, PH.D.
• Nicole Welke, PHARMD
• Brittini Wester, LPC
• Amy Wetzler, MS, LPC, NCC
• Aaron Lee White, D-PT
• Amy Marie Whitman
• Kiara Wildenberg, BCBA

• Family Nurse Practitioner in De Pere, WI
• Providers in De Pere, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.