Individual provider Active NPI

Heidi Kristen Wennemer, D.O.

  • Physical Medicine & Rehabilitation Physician
  • East Sandwich, MA
National Provider Identifier
1982662037
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
219658 Issued in MA
Practice address
311 Service Rd
East Sandwich, MA 02537-1370
Phone
(508) 833-4221
NPI assigned
May 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 219658 MA Primary

Addresses

Primary practice location

311 Service Rd
East Sandwich, MA 02537-1370

Mailing address

311 Service Rd
East Sandwich, MA 02537-1370
Phone (508) 833-4221

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Epic Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20070924000661 MA Practitioner - Physical Medicine and Rehabilitation 4183718943 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of New England, College of Osteo Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

311 Service Rd
East Sandwich, MA 02537-1370
Phone (508) 833-4000

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
219658MAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Hospital of the Cape and Islands, Corporation Current Accepting new patients
The General Hospital Corporation CurrentSince Aug 1, 2018 Accepting new patients
Massachusetts General Physicians Organization Inc Physical Medicine & Rehabilitation CurrentSince Aug 1, 2018 Accepting new patients
Rehabilitation Medical Associates, P.C. Physical Medicine & Rehabilitation PastSince May 26, 2024 Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

311 Service Rd
East Sandwich, MA 02537
Phone (508) 833-4000

Interoperability endpoints

  • Direct secure messaging: wennemer.heidi.scc@direct.partners.masshiway.net

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1982662037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 SERVICE RD",
            "city": "EAST SANDWICH",
            "state": "MA",
            "postal_code": "025371370",
            "telephone_number": "508-833-4221",
            "fax_number": "508-833-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 SERVICE RD",
            "city": "EAST SANDWICH",
            "state": "MA",
            "postal_code": "025371370",
            "telephone_number": "508-833-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENNEMER",
        "first_name": "HEIDI",
        "middle_name": "KRISTEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MA",
            "license": "219658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Epic",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "311 Service Rd",
            "city": "East Sandwich",
            "state": "MA",
            "country_code": "US",
            "postal_code": "025371370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Sandwich, MA

Sources for this page

Verify at the official NPI Registry.