Frederick G Wenzel, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0101055577 Issued in VA

Practice address

1514 Amherst St
Winchester, VA 22601-2803

Phone

(540) 667-4499

Fax

(540) 722-4172

NPI assigned

Jan 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Dermatology

Education

Duke University School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Associates IncGroup PAC ID 2668415357, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Winchester Medical Center Hospital, Winchester, VA, CCN 490005
• Shenandoah Memorial Hospital Hospital, Woodstock, VA, CCN 491305

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Dermatology Associates Inc

  • Dermatology Physician
  • Winchester, VA
  • NPI 1336140623

  VA

  Medicare reassignment Care Compare group
• Asthma & Allergy Center of the Northern Shenandoah Valley, Inc.

  • Allergy & Immunology Physician
  • Winchester, VA
  • NPI 1114937620
  NPD (past)

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

• Shenandoah Memorial Hospital, Inc.

  • Critical Access Hospital
  • Woodstock, VA
  • NPI 1033166442

  Hospital

  Care Compare affiliation
• Winchester Medical Center

  • General Acute Care Hospital
  • Winchester, VA
  • NPI 1619928017

  Hospital

  Care Compare affiliation
• Winchester Medical Center

  • Clinical Medical Laboratory
  • Winchester, VA
  • NPI 1790024909

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1962473199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 AMHERST ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012803",
            "telephone_number": "540-667-4499",
            "fax_number": "540-722-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 AMHERST ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012803",
            "telephone_number": "540-667-4499",
            "fax_number": "540-722-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENZEL",
        "first_name": "FREDERICK",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101055577",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "VA",
            "license": "0101055577",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "VA",
            "license": "0101055577",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WV",
            "license": "18997",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "WV",
            "license": "18997",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "WV",
            "license": "18997",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MTST BCBS",
            "identifier": "000958571",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0070147000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "231484",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005900867",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wellness 8 LLC
• Kasidee Cathryn Wells, DDS
• Marion Timothy Wells, MD
• Nathan S Wells, DPT
• Trina Roswick Welpott, LCSW
• Ruth Wenzel
• Caren Jean Werlinger, PT
• Austin Wernecke, PT
• Emily H Wernecke, DPT
• Sarah Katherine Werner, CNM

• All providers in Winchester, VA
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.