Individual provider Active NPI

Solomon Africanus Wesseh Jr., FNP-BC

  • Primary Care Nurse Practitioner
  • Saint Michael, MN
National Provider Identifier
1912397142
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
CNP 3500 Issued in MN
Practice address
10135 43Rd CT NE
Saint Michael, MN 55376-3015
Phone
(763) 202-9461
NPI assigned
Jan 26, 2015
Last updated
Jan 26, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X CNP 3500 MN Primary

Addresses

Primary practice location

10135 43Rd CT NE
Saint Michael, MN 55376-3015

Mailing address

10135 43Rd CT NE
Saint Michael, MN 55376-3015
Phone (763) 202-9461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230215000317 NC Practitioner - Nurse Practitioner 4789924341 Reassigns benefits to 1 organization
I20230823000355 SC Practitioner - Nurse Practitioner 4789924341 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

101 Cabarrus Ave E
Suite 200
Concord, NC 28025-3781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CNP 3500MNMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus Wholehealth Aco LLC CurrentSince Aug 1, 2024 Accepting new patients
Eventus WH PLLC Care, LLC CurrentSince Sep 1, 2025 Accepting new patients
Eventus WH Southeast - South Carolina, LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

2810 Coliseum Centre Dr
Ste 120
Charlotte, NC 28217

160 Mine Lake Ct
#200
Raleigh, NC 27615
Phone (404) 805-4288

2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (505) 340-5555

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1912397142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10135 43RD CT NE",
            "city": "SAINT MICHAEL",
            "state": "MN",
            "postal_code": "553763015",
            "telephone_number": "763-202-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10135 43RD CT NE",
            "city": "SAINT MICHAEL",
            "state": "MN",
            "postal_code": "553763015",
            "telephone_number": "763-202-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESSEH",
        "first_name": "SOLOMON",
        "middle_name": "AFRICANUS",
        "name_suffix": "Jr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MN",
            "license": "CNP 3500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Michael, MN

Sources for this page

Verify at the official NPI Registry.