ADAM M WENNERSTEN PA-C
NPI 1568619682
Physician Assistant in Superior, WI

Q: What is Adam Wennersten's NPI number?

The NPI number for Adam Wennersten is 1568619682. It was assigned to this individual provider in the NPPES registry on August 20, 2008.

Q: What is Adam Wennersten's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Adam Wennersten was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since August 20, 2008PECOS EnrolledAccepts Medicare Assignment

2222 E 5TH ST, SUPERIOR, WI 54880(715) 392-1955(715) 392-1935 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2024, Sep 13, 2024, Oct 15, 2021 and 3 more (6 updates tracked since 2018).

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About Adam M Wennersten Pa-c NPPES

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

ADAM M WENNERSTEN PA-C (NPI 1568619682) is an individual physician assistant in Superior, Wisconsin, licensed in Wisconsin (2366-23) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1568619682

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameADAM M WENNERSTENCredential: PA-C

Location Address2222 E 5TH STSuperior, WI 54880-3709

Mailing Address2222 E 5th StSuperior, WI 54880-3709 · (715) 392-1955 · Fax (715) 392-1935

Phone(715) 392-1955

Fax(715) 392-1935

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateAugust 20, 2008

Last NPPES UpdateSeptember 16, 20246 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2024

✔ NPI 1568619682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in WI · 2366-23✔ Licensed in MN · 11324

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2222 E 5TH ST, Superior, WI 54880

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Secondary Practice Locations 2

Location 18170 33rd Ave SBloomington, MN 55425-4516 · Phone (877) 440-1001

Location 24325 Grand AveDuluth, MN 55807-2730 · Phone (218) 722-1497 · Fax (218) 722-6239

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Adam M Wennersten Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709954324

PECOS Enrollment IDI20191122000523

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

98 services62 patients

Blood test, basic group of blood chemicals (calcium, ionized) 80047

A basic group of blood chemicals test, including calcium and ionized, is a simple procedure where a small amount of blood is drawn from your arm. This test helps assess your body's overall health and detect potential disorders like kidney disease or bone disease.

90 services60 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

42 services35 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

17 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240002

Location402 East Second StreetDuluth, MN 55805 · St. Louis County

Emergency services Birthing friendly

St Lukes Hospital

Acute Care Hospitals · Duluth, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240047

Location915 East 1st StreetDuluth, MN 55805 · St. Louis County

Emergency services Birthing friendly

St Marys Hospital Superior

Critical Access Hospitals · Superior, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521329

Location3500 Tower AveSuperior, WI 54880 · Douglas County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54880 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers11 claims30 services$5.89 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier11 claims11 services$0.70 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

PENNY JO WALDUM RN

Registered Nurse