Individual provider Active NPI

Cody Wayne Wendlandt, MD

  • Family Medicine Physician
  • Sartell, MN
National Provider Identifier
1972915882
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
61238 Issued in MN
Practice address
2304 Wyoming CT
Sartell, MN 56377-4562
Phone
(320) 200-9547
NPI assigned
May 27, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 61238 MN Primary

Addresses

Primary practice location

2304 Wyoming CT
Sartell, MN 56377-4562

Mailing address

2304 Wyoming CT
Sartell, MN 56377-4562

Other practice location 1

8011 34th Ave S Ste 126
Bloomington, MN 55425-2081
Phone (844) 203-5483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20170328000417 MN Practitioner - Family Practice 8325334964 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glencoe Regional Health ServicesGroup PAC ID 1759292980, 45 clinicians

Practice addresses (Care Compare)

1805 Hennepin Ave N
Glencoe, MN 55336-1416
Phone (320) 864-3121

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Stevens Community Medical Center Inc Family Medicine CurrentSince Aug 18, 2019 Accepting new patients
Stevens Community Medical Center Inc. Current Accepting new patients
Glencoe Regional Health Services CurrentSince Jul 29, 2020 Accepting new patients
Glencoe Regional Health Services CurrentSince Jul 29, 2020 Accepting new patients
Healtheast Medical Research Institute CurrentSince Apr 22, 2020 Accepting new patients
Stevens Community Medical Center Inc CurrentSince Aug 18, 2019 Accepting new patients
Healtheast Medical Research Institute Family Medicine CurrentSince Apr 22, 2020 Accepting new patients
Fairview Health Services CurrentSince Apr 22, 2020 Accepting new patients
Fairview Clinics CurrentSince Apr 22, 2020 Accepting new patients
Fairview Clinics CurrentSince Apr 22, 2020 Accepting new patients
Fairview Clinics Current Accepting new patients
Vandalia Health, PLLC Current Accepting new patients
Fairview Clinics CurrentSince Apr 22, 2020 Accepting new patients

Locations

13819 Hanson Blvd NW
Andover, MN 55304
Phone (763) 572-5700

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

1805 Hennepin Ave N
Glencoe, MN 55336
Phone (320) 864-3121

600 W 98th St
Minneapolis, MN 55420
Phone (952) 881-2651

10000 Zane Ave N
Minneapolis, MN 55443
Phone (763) 528-6999

400 E 1st St
Morris, MN 56267
Phone (320) 589-1313

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800

3305 Central Park Village Dr
Ste 200
Saint Paul, MN 55121
Phone (651) 406-8860

1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1972915882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 WYOMING CT",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 WYOMING CT",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774562",
            "telephone_number": "320-200-9547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8011 34th Ave S Ste 126",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "MN",
            "postal_code": "554252081",
            "country_code": "US",
            "telephone_number": "844-203-5483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENDLANDT",
        "first_name": "CODY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "61238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sartell, MN

Sources for this page

Verify at the official NPI Registry.