Individual provider Active NPI

Autumn Christina-Lynn Wendler, CNM

  • Advanced Practice Midwife
  • Winston Salem, NC
National Provider Identifier
1902563570
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
810 Issued in NC
Practice address
245 Charlois Blvd Ste C
Winston Salem, NC 27103-1507
Phone
(336) 718-6280
NPI assigned
Nov 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 367A00000X 810 NC Primary

Addresses

Primary practice location

245 Charlois Blvd Ste C
Winston Salem, NC 27103-1507

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address awendler1021413@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220127001016 NC Practitioner - Certified Nurse Midwife (CNM) 6800288705 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
810NCMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Medical Group, Inc. CurrentSince Jan 14, 2022 Accepting new patients
Obhg North Carolina, P.C. Single Specialty CurrentSince Sep 28, 2023 Accepting new patients
Novant Health Medical Group, LLC Single Specialty Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jan 14, 2022 Accepting new patients

Locations

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

245 Charlois Blvd
#C
Winston Salem, NC 27103
Phone (336) 718-6280

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

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.

NPI Registry JSON

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1902563570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 CHARLOIS BLVD STE C",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031507",
            "telephone_number": "336-718-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDLER",
        "first_name": "AUTUMN",
        "middle_name": "CHRISTINA-LYNN",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awendler1021413@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "245 Charlois Blvd Ste C",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271031507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.