Wendy Johnson, MD
Individual provider Active NPI Family Medicine Physician · Santa Fe, NM
NPI 1982648093 · NPPES record last updated Jul 27, 2023
Key facts
- NPI
- 1982648093
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 98-299 (NM)
- Practice address
- 1035 Alto St
Santa Fe, NM 87501-2406 - Phone
- (505) 982-4599
- Fax
- (505) 982-8440
- NPI assigned
- Jun 16, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 21
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Ohio State University College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- El Centro Family Health
Practice addresses (Care Compare)
538 N Paseo de Onate
Espanola, NM 87532-2618
PO Box
Espanola, NM 87532
PO Box
Espanola, NM 87532-0158
Hospital & facility affiliations
- Presbyterian Espanola Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140329000004 | NM | Practitioner - Family Practice | 6204740004 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98-299 | NM | MD | Family Medicine Physician |
| 35074913 | OH | MD | Family Medicine Physician |
| MD00047755 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Centro Family Health | Current |
Accepting new patients | |
| El Centro Family Health | Current |
Accepting new patients | |
| Taos Health Systems, Inc., Holy Cross Hospital | Past | Accepting new patients | |
| El Centro Family Health | Past | Accepting new patients | |
| City of Cleveland Dept. of Public Health | Past |
Accepting new patients |
Locations
538 N Paseo de Onate
Espanola, NM 87532
Phone (505) 753-7218
2010 Industrial Park Rd
Espanola, NM 87532
Phone (505) 753-3143
111 N Railroad Ave
Espanola, NM 87532
Phone (505) 753-7218
1235 8th St
Las Vegas, NM 87701
Phone (505) 425-6751
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- wendy.johnson@20337662754820.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00047755 | WA | |
| Family Medicine Physician | 207Q00000X | 35074913 | OH | |
| Family Medicine Physician | 207Q00000X | 98-299 | NM | Yes |
Addresses
Primary practice location
1035 Alto St
Santa Fe, NM 87501-2406
Mailing address
1035 Alto St
Santa Fe, NM 87501-2406
Phone (505) 982-4599
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2072073 | Medicaid | OH |
Other providers in Santa Fe, NM
- Michele Watzke Johnson
- Monica Johnson
- Sara Johnson
- Sarah Johnson
- Sheyenne Johnson
- Karisa Johnston
- William Hannan Johnston
- Rebecca Ann Jolin
- Laura Jolly
- Jonathan Wallach LPCC LLC
All providers in Santa Fe, NM · Family Medicine Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.