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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: July 19, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

ADAM CRAWFORD FRANCIS MD
Family Medicine
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 303-3600
REBECCA WALTON
Student in an Organized Health Care Education/Training Program
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 583-8800
RUTH PEDRAZA MD
Family Medicine
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 583-8800
TALIA KOSTICK
Family Medicine
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 583-8800
KARLA PANAMENO MD
Family Medicine
3569 ROUND BARN CIR STE 200
SANTA ROSA, CA 95403
Sonoma County (000) 000-0000
GUILLERMO PADILLA 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
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
NICOLE GOLDBERG-BOLTZ 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

Frequently Asked Questions

What is Ellie Wiener's NPI number?

The NPI number assigned to this healthcare provider is 1285051193, enumerated as an "individual" on March 28, 2014.

Where is the provider located?

The provider is located at 3569 ROUND BARN CIR STE 200 SANTA ROSA, CA 95403 and the phone number is (707) 583-8800.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.