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MEWINZHA ONDAADIZIIKE WIIGAMING
NPI 1619490893
Nurse Practitioner - Obstetrics & Gynecology in Bemidji, MN

Active since July 19, 2017CLIA 24D2129302 · Waiver
802 PAUL BUNYAN DR S STE 12&13, BEMIDJI, MN 56601(218) 444-4323(218) 444-7514 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2023, Jul 19, 2017 (2 updates tracked since 2017).

About Mewinzha Ondaadiziike Wiigaming NPPES

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

MEWINZHA ONDAADIZIIKE WIIGAMING (NPI 1619490893) is a healthcare organization registered as an obstetrics & gynecology in Bemidji, Minnesota and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through April 17, 2027 and lists Millicent Simenson, Founder/president, as its authorized official.

NPPES Registry Identity

NPI1619490893
Entity TypeOrganization
Primary Taxonomy363LX0001X
Legal Business NameMEWINZHA ONDAADIZIIKE WIIGAMING
Location Address802 PAUL BUNYAN DR S STE 12&13Bemidji, MN 56601-3201
Mailing Address802 Paul Bunyan Dr S Ste 12Bemidji, MN 56601-3204 · (218) 444-4323 · Fax (218) 444-7514
Phone(218) 444-4323
Fax(218) 444-7514
Organization SubpartNo
Authorized OfficialMillicent SimensonFounder/president · (218) 556-1961
Enumeration DateJuly 19, 2017
Last NPPES UpdateJuly 24, 20232 updates tracked since enumeration
NPPES CertifiedJuly 24, 2023
✔ NPI 1619490893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License✔ Licensed in MN · R-158189-0
Also ListedRegistered NurseTaxonomy 163W00000X
Also ListedRegistered Nurse · Case ManagementTaxonomy 163WC0400X
Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X
Also ListedLicensed Practical NurseTaxonomy 164W00000X
Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X · License R-158189-0 (MN)
Also ListedNurse Practitioner · Community HealthTaxonomy 363LC1500X · License R-158189-0 (MN)
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License R-158189-0 (MN)
Also ListedDoulaTaxonomy 374J00000X
802 PAUL BUNYAN DR S STE 12&13, Bemidji, MN 56601
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2129302

Mewinzha Ondaadiziike Wiigaming · Bemidji, MN
Active · expires Apr 17, 2027
CLIA Number24D2129302
Laboratory TypeCommunity Clinic
Certificate Effective DateApril 18, 2025
Certificate Expiration DateApril 17, 2027
Laboratory DirectorNatalie M. Nicholson
Laboratory Phone(218) 444-4323
Laboratory LocationMewinzha Ondaadiziike Wiigaming802 Paul Bunyan Dr S Suite 12, Bemidji, MN 56601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

MS. ROXANNE MARIE JOHNSON RD
Dietitian, Registered
802 PAUL BUNYAN DR S STE 12&13
BEMIDJI, MN 56601
Beltrami County (218) 444-4323
NATALIE M. NICHOLSON NP
Nurse Practitioner
802 PAUL BUNYAN DR S STE 12&13
BEMIDJI, MN 56601
Beltrami County (218) 444-4323

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 Mewinzha Ondaadiziike Wiigaming's NPI number?

The NPI number for Mewinzha Ondaadiziike Wiigaming is 1619490893. It was assigned to this organization in the NPPES registry on July 19, 2017.

Where is Mewinzha Ondaadiziike Wiigaming located?

Mewinzha Ondaadiziike Wiigaming is located at 802 Paul Bunyan Dr S Ste 12&13, Bemidji, MN 56601. The listed phone number is (218) 444-4323.

What is Mewinzha Ondaadiziike Wiigaming's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Does Mewinzha Ondaadiziike Wiigaming hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2129302) is associated with this NPI, valid through April 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mewinzha Ondaadiziike Wiigaming was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.