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WELLENDORF ENT, P.C.
NPI 1740494244
Otolaryngology in Carroll, IA

Active since May 10, 2007
405 S CLARK ST, SUITE 215, CARROLL, IA 51401(712) 792-4368(712) 792-2056 Get Directions Write a Review

NPPES record last updated: March 26, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wellendorf Ent, P.c. NPPES

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

WELLENDORF ENT, P.C. (NPI 1740494244) is a healthcare organization registered as an otolaryngology in Carroll, Iowa and active in the NPI registry since May 2007. The organization lists Tracey G Wellendorf, President, as its authorized official.

NPPES Registry Identity

NPI1740494244
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameWELLENDORF ENT, P.C.
Location Address405 S CLARK ST, SUITE 215Carroll, IA 51401-3065
Mailing AddressPo Box 766Carroll, IA 51401-0766 · (712) 792-4368 · Fax (712) 792-4351
Phone(712) 792-4368
Fax(712) 792-2056
Organization SubpartNo
Authorized OfficialTracey G WellendorfPresident · (712) 792-4368
Enumeration DateMay 10, 2007
Last NPPES UpdateMarch 26, 2019
✔ NPI 1740494244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in IA · 30594
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
405 S CLARK ST, Carroll, IA 51401
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Other Identifiers 5

Medicaid2124032IA
Medicaid5124032IA
Medicaid1124032IA
Medicaid3124032IA
Medicaid6124032IA

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wellendorf Ent, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wellendorf Ent, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Tracey Wellendorf, MD
Otolaryngology
NPI 1528057387
405 S CLARK ST SUITE 215
Carroll, IA 51401
(712) 792-4368
✔ PECOS✔ Accepts MedicareSame address

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

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 Wellendorf Ent, P.C.'s NPI number?

The NPI number for Wellendorf Ent, P.C. is 1740494244. It was assigned to this organization in the NPPES registry on May 10, 2007.

Where is Wellendorf Ent, P.C. located?

Wellendorf Ent, P.C. is located at 405 S Clark St Suite 215, Carroll, IA 51401. The listed phone number is (712) 792-4368.

What is Wellendorf Ent, P.C.'s specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Wellendorf Ent, P.C. enrolled in Medicare?

Yes. Wellendorf Ent, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wellendorf Ent, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Otolaryngology) reassigns their Medicare billing to Wellendorf Ent, P.C.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wellendorf Ent, P.C. was last updated on March 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.