1. Home
  2. Directory
  3. Ohio
  4. Maumee
  5. Nurse Practitioner
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MARY THERESE SORENSEN WIEDERHOLD
NPI 1598683021
Nurse Practitioner - Primary Care in Maumee, OH

Active since July 10, 2026PECOS Enrolled
805 ASKIN ST, MAUMEE, OH 43537(419) 704-0383 Get Directions Write a Review

NPPES record added: July 10, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Mary Therese Sorensen Wiederhold NPPES

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

MARY THERESE SORENSEN WIEDERHOLD (NPI 1598683021) is an individual primary care provider in Maumee, Ohio, licensed in Ohio (APRN.CNP.0042672) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598683021
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMARY THERESE SORENSEN WIEDERHOLD
Location Address805 ASKIN STMaumee, OH 43537-3603
Mailing Address805 Askin StMaumee, OH 43537-3603
Phone(419) 704-0383
Sole ProprietorYes
Enumeration DateJuly 10, 2026
NPPES CertifiedJuly 10, 2026
✔ NPI 1598683021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in OH · APRN.CNP.0042672
805 ASKIN ST, Maumee, OH 43537
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Therese Sorensen Wiederhold 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43537 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Mary Sorensen Wiederhold's NPI number?

The NPI number for Mary Sorensen Wiederhold is 1598683021. It was assigned to this individual provider in the NPPES registry on July 10, 2026.

Where is Mary Sorensen Wiederhold located?

Mary Sorensen Wiederhold practices at 805 Askin St, Maumee, OH 43537. The listed phone number is (419) 704-0383.

What is Mary Sorensen Wiederhold's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Mary Sorensen Wiederhold enrolled in Medicare?

Yes. Mary Sorensen Wiederhold is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Sorensen Wiederhold was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.