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MS. JUSTINE MARIE WAMBACH FNP-C
NPI 1700075678
Nurse Practitioner - Family in Waubun, MN

Active since October 17, 2007PECOS Enrolled

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Justine Marie Wambach Fnp-c NPPES

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

MS. JUSTINE MARIE WAMBACH FNP-C (NPI 1700075678) is an individual family provider in Waubun, Minnesota, licensed in Minnesota (3295) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700075678
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. JUSTINE MARIE WAMBACHCredential: FNP-C
Location Address1111 1ST STWaubun, MN 56589-4047
Mailing Address29664 County Road 112Waubun, MN 56589-2800 · (218) 204-0180
Phone(218) 204-0180
Sole ProprietorYes
Enumeration DateOctober 17, 2007
Last NPPES UpdateApril 13, 2026
NPPES CertifiedApril 13, 2026
✔ NPI 1700075678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MN · 3295
Also ListedRegistered NurseTaxonomy 163W00000X · License R1819494 (MN)
1111 1ST ST, Waubun, MN 56589
Open in Google Maps ↗

Other Names 1

Former Name (1)Justine Marie Mcarthur Fnp-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Justine Marie Wambach Fnp-c 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 56589 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Other Providers at the Same Location NPPES 4

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

INFINITY MEDICINE LLC
Clinic/Center
1111 1ST ST
WAUBUN, MN 56589
Mahnomen County (218) 204-0180
VANESSA JO JOHNSON MSW
Social Worker (Clinical)
1111 1ST ST
WAUBUN, MN 56589
Mahnomen County (218) 325-1531
INFINITY THERAPY LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1111 1ST ST
WAUBUN, MN 56589
Mahnomen County (218) 325-0254
CASSIDY SHIPMAN
Behavior Technician
1111 1ST ST
WAUBUN, MN 56589
Mahnomen County (218) 325-1531

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 Justine Wambach's NPI number?

The NPI number for Justine Wambach is 1700075678. It was assigned to this individual provider in the NPPES registry on October 17, 2007. The provider is also known as Justine Marie Mcarthur Fnp-C.

Where is Justine Wambach located?

Justine Wambach practices at 1111 1st St, Waubun, MN 56589. The listed phone number is (218) 204-0180.

What is Justine Wambach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Justine Wambach enrolled in Medicare?

Yes. Justine Wambach is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Justine Wambach was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.