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ELLIE RIVKAH PRITSCHET WIENER
NPI 1285051193
Student in an Organized Health Care Education/Training Program in Santa Rosa, CA

Active since March 28, 2014PECOS Enrolled
3569 ROUND BARN CIR STE 200, SANTA ROSA, CA 95403(707) 583-8800 Get Directions Write a Review

NPPES record last updated: March 28, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ellie Rivkah Pritschet Wiener NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLIE RIVKAH PRITSCHET WIENER (NPI 1285051193) is an individual student in an organized health care education/training program in Santa Rosa, California and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285051193
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELLIE RIVKAH PRITSCHET WIENER
Location Address3569 ROUND BARN CIR STE 200Santa Rosa, CA 95403-5781
Mailing Address3569 Round Barn Cir Ste 200Santa Rosa, CA 95403-5781 · (707) 583-8800
Phone(707) 583-8800
Sole ProprietorNo
Enumeration DateMarch 28, 2014
✔ NPI 1285051193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3569 ROUND BARN CIR STE 200, Santa Rosa, CA 95403
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellie Rivkah Pritschet Wiener is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ellie Wiener reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Santa Rosa Community Health Centers
Same address
Federally Qualified Health Center (FQHC)
3569 ROUND BARN CIRCLE
Santa Rosa, CA 95403
  • Reassigned Medicare billing, California enrollment
  • 215 clinicians in this Medicare group
NPI 1578631172 (707) 303-3600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KENDALL MADDEN M.D.
Student in an Organized Health Care Education/Training Program
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 583-8800
KATHLEEN MARIE BEARDSWORTH MD
Family Medicine
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 583-8800
BIANKA J AGUILAR MD
Family Medicine
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 583-8806
NAVPREET SIDHU
Family Medicine
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 583-8800
QUETZAL MORENO DO
Family Medicine
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 583-8800
GENEVRA MAGLIOCCO MD
Student in an Organized Health Care Education/Training Program
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 583-8800
YADIRA RAYA-CERVANTES MD
Family Medicine
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 583-8800
DR. LILY DEVRIES MORRISON MD, MPH
Family Medicine
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 583-8800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellie Wiener's NPI number?

The NPI number for Ellie Wiener is 1285051193. It was assigned to this individual provider in the NPPES registry on March 28, 2014.

Where is Ellie Wiener located?

Ellie Wiener practices at 3569 Round Barn Cir Ste 200, Santa Rosa, CA 95403. The listed phone number is (707) 583-8800.

What is Ellie Wiener's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ellie Wiener enrolled in Medicare?

Yes. Ellie Wiener is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ellie Wiener's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellie Wiener reassigns Medicare benefits to Santa Rosa Community Health Centers (Santa Rosa, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ellie Wiener's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ellie Wiener was last updated on March 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.