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DR. COLLEEN ANN WUNDERLICH M.D., MSC
NPI 1689702698
Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine in Columbia, SC

Active since March 01, 2007PECOS EnrolledAccepts Medicare Assignment
99.32/100
CMS Quality Rating
9 RICHLAND MEDICAL PARK DR STE 410, COLUMBIA, SC 29203(803) 434-7995(803) 434-8686 Get Directions Write a Review

NPPES record last updated: July 6, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 6, 2020, Mar 23, 2018, Aug 9, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Colleen Ann Wunderlich M.d., Msc NPPES

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

DR. COLLEEN ANN WUNDERLICH M.D., MSC (NPI 1689702698) is an individual pediatric rehabilitation medicine provider in Columbia, South Carolina, licensed in South Carolina (40616) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Columbia, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1689702698
Entity TypeIndividualFemale
Primary Taxonomy2081P0010X
Provider Legal NameDR. COLLEEN ANN WUNDERLICHCredential: M.D., MSC
Location Address9 RICHLAND MEDICAL PARK DR STE 410Columbia, SC 29203-6859
Mailing AddressPo Box 743904Atlanta, GA 30374-3904 · (803) 296-7320 · Fax (803) 293-7330
Phone(803) 434-7995
Fax(803) 434-8686
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMarch 1, 2007
Last NPPES UpdateJuly 6, 20204 updates tracked since enumeration
NPPES CertifiedJuly 6, 2020
✔ NPI 1689702698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pediatric Rehabilitation MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P0010X
Licenses✔ Licensed in SC · 40616✔ Licensed in NC · 2007-00969✔ Licensed in VA · 0101238304
Definition
A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 2007-00969 (NC), 46317 (MN)
9 RICHLAND MEDICAL PARK DR STE 410, Columbia, SC 29203
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Secondary Practice Location 1

Location 114 Richland Medical Park Dr Ste 400Columbia, SC 29203-6878 · Phone (803) 434-7950 · Fax (803) 434-8606

Other Identifiers 3

Other1458XNC · Ncbcbs
MedicaidN69007SC
Medicaid5907606NC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Colleen Ann Wunderlich M.d., Msc 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 ID8022100866
PECOS Enrollment IDI20170620000001
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.

Medicare Billing Reassignment

Medicare enrollment records show Colleen Wunderlich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prisma Health Medical Group-Midlands
Same address
Orthopaedic Surgery
14 RICHLAND MEDICAL PARK DR STE 200
Columbia, SC 29203
  • Reassigned Medicare billing, South Carolina enrollment
  • 1,466 clinicians in this Medicare group
NPI 1346761897 (803) 296-9200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

MATTHEW MACCARTHY
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
9 RICHLAND MEDICAL PARK DR STE 410
COLUMBIA, SC 29203
Richland County (720) 628-3021
JODI DINGLE M.D.
Pediatrics (Pediatric Rheumatology)
9 RICHLAND MEDICAL PARK DR STE 410
COLUMBIA, SC 29203
Richland County (803) 434-7995
PRISMA HEALTH MEDICAL GROUP-MIDLANDS
Clinic/Center (Multi-Specialty)
9 RICHLAND MEDICAL PARK DR STE 410
COLUMBIA, SC 29203
Richland County (803) 434-7995
MUTAHAMMIS KAREEM M.D.
Physical Medicine & Rehabilitation
9 RICHLAND MEDICAL PARK DR STE 410
COLUMBIA, SC 29203
Richland County (803) 434-1824
SYDNEY BROWN JENKINS PA-C
Physician Assistant
9 RICHLAND MEDICAL PARK DR STE 410
COLUMBIA, SC 29203
Richland County (803) 434-1824

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 Colleen Wunderlich's NPI number?

The NPI number for Colleen Wunderlich is 1689702698. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Colleen Wunderlich located?

Colleen Wunderlich practices at 9 Richland Medical Park Dr Ste 410, Columbia, SC 29203. The listed phone number is (803) 434-7995.

What is Colleen Wunderlich's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pediatric Rehabilitation Medicine, with taxonomy code 2081P0010X.

Is Colleen Wunderlich enrolled in Medicare?

Yes. Colleen Wunderlich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Colleen Wunderlich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Colleen Wunderlich reassigns Medicare benefits to Prisma Health Medical Group-Midlands (Columbia, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Colleen Wunderlich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Colleen Wunderlich was last updated on July 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.