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

NPI Status: Active since July 19, 2017

Contact Information

802 PAUL BUNYAN DR S STE 12&13
BEMIDJI, MN
ZIP 56601
Phone: (218) 444-4323
Fax: (218) 444-7514

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  • Organization
  • Nurse Practitioner
  • Obstetrics & Gynecology
  • CLIA Number: 24D2129302
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 04-17-2027

About MEWINZHA ONDAADIZIIKE WIIGAMING

This page provides the complete NPI Profile along with additional information for Mewinzha Ondaadiziike Wiigaming, a provider established in Bemidji, Minnesota operating as a Nurse Practitioner, focusing in obstetrics & gynecology . The healthcare provider is registered in the NPI registry with number 1619490893 assigned on July 2017. The practitioner's primary taxonomy code is 363LX0001X with license number R-158189-0 (MN). The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Millicent Simenson Lpn (Founder/president)

NPI
1619490893
Provider Name
MEWINZHA ONDAADIZIIKE WIIGAMING
Entity Type
Organization
Location Address
802 PAUL BUNYAN DR S STE 12&13 BEMIDJI, MN 56601
Location Phone
(218) 444-4323
Location Fax
(218) 444-7514
Mailing Address
802 PAUL BUNYAN DR S STE 12 BEMIDJI, MN 56601
Mailing Phone
(218) 444-4323
Mailing Fax
(218) 444-7514
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-19-2017
Last Update Date
07-24-2023
Code Navigator

A nurse practitioner (NP) like Mewinzha Ondaadiziike Wiigaming is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Obstetrics & Gynecology

Taxonomy Code
363LX0001X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
R-158189-0
License State
MN

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163W00000XNursing Service Providers

Registered Nurse

(MN)
2163WC0400XNursing Service Providers

Registered Nurse
Case Management

(MN)
3163WC1500XNursing Service Providers

Registered Nurse
Community Health

(MN)
4164W00000XNursing Service Providers

Licensed Practical Nurse

(MN)
52083P0901XAllopathic & Osteopathic Physicians

Preventive Medicine
Public Health & General Preventive Medicine

R-158189-0 (MN)
6363LC1500XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Community Health

R-158189-0 (MN)
7363LW0102XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Women's Health

R-158189-0 (MN)
8374J00000XNursing Service Related Providers

Doula

(MN)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MILLICENT SIMENSON LPN

Authorized Official Title
FOUNDER/PRESIDENT
Authorized Official Phone
(218) 556-1961

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
24D2129302
Facility Type
Community Clinic
Certificate Effective Date
April 18, 2025
Certificate Expiration Date
April 17, 2027
Laboratory Director
NATALIE M. NICHOLSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mewinzha Ondaadiziike Wiigaming to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1619490893, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
4
Doubled → 8
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 4 → 8 0 → 0 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 2 + 9 + 8 + 9 + 0 + 8 + 1 + 8 + 24 = 77

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 77 is 80. The difference is the calculated check digit.

80 - 77 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1619490893.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dietitian, Registered
802 PAUL BUNYAN DR S STE 12&13
BEMIDJI, MN 56601
Nurse Practitioner
802 PAUL BUNYAN DR S STE 12&13
BEMIDJI, MN 56601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619490893, enumerated as an "organization" on July 19, 2017.

The provider is located at 802 PAUL BUNYAN DR S STE 12&13 BEMIDJI, MN 56601 and the phone number is (218) 444-4323.

Nurse Practitioner with taxonomy code 363LX0001X and a focus in Obstetrics & Gynecology.