NPIMap

Individual provider Active NPI

Melissa M Wendt, PA-C

  • Physician Assistant
  • McConnell AFB, KS
National Provider Identifier
1962707067
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
57950 Leavenworth St Ste 4E1
McConnell AFB, KS 67221
Phone
(316) 759-5050
Fax
(316) 759-6577
NPI assigned
Jan 20, 2011
Last updated
Jun 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

57950 Leavenworth St Ste 4E1
McConnell AFB, KS 67221

Mailing address

2031 Peach St
Wisconsin Rapids, WI 54494-5181
Phone (715) 421-7595

Other practice location 1

57950 Leavenworth St Ste 4E1
McConnell AFB, KS 67221-3506
Phone (316) 759-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170606001828 WI Practitioner - Physician Assistant 7810116837 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2031 Peach St
Wisconsin Rapids, WI 54494-5181
Phone (715) 423-0122

2251 N Shore Dr
Rhinelander, WI 54501-6710

410 Dewey St
Wisconsin Rapids, WI 54494-4715
Phone (715) 423-6060

420 Dewey St
Wisconsin Rapids, WI 54494-4714
Phone (715) 422-7750

5409 Vern Holmes Dr
Stevens Point, WI 54482-8853
Phone (715) 344-1600

824 Illinois Ave
Stevens Point, WI 54481-3112
Phone (715) 344-1600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.15 of 100Reported as group
Quality
73.7
Promoting interoperability
100
Improvement activities
40
Cost
76.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Aug 29, 2021 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Aspirus Medical Group, Inc. Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2331

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400

2031 Peach St
Wisconsin Rapids, WI 54494
Phone (715) 423-0122

410 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-5257

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

Organizations & group practices 10

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.

Hospital & facility affiliations 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1962707067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 PEACH ST",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544945181",
            "telephone_number": "715-421-7595",
            "fax_number": "316-759-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57950 LEAVENWORTH ST STE 4E1",
            "city": "MCCONNELL AFB",
            "state": "KS",
            "postal_code": "67221",
            "telephone_number": "316-759-5050",
            "fax_number": "316-759-6577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57950 Leavenworth St Ste 4E1",
            "address_purpose": "LOCATION",
            "city": "McConnell AFB",
            "state": "KS",
            "postal_code": "672213506",
            "country_code": "US",
            "telephone_number": "316-759-5050",
            "fax_number": "316-759-6577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENDT",
        "first_name": "MELISSA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-20",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McConnell AFB, KS

Sources for this page

Verify at the official NPI Registry.