| Audrie Christine Wisell, FNP | |
|
250 W 300 N, Roosevelt, UT 84066-2336 | |
| (435) 722-4691 | |
| Not Available |
| Full Name | Audrie Christine Wisell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 250 W 300 N, Roosevelt, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518417054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 6657212-405 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| South Big Horn County Hospital | Basin, WY | Hospital |
| Cody Regional Health | Cody, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Uintah Basin Medical Center Inc | 0244131944 | 56 |
| South Big Horn County Hospital District | 1254314107 | 12 |
| Entity Name | South Big Horn County Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1013919794 PECOS PAC ID: 1254314107 Enrollment ID: O20080909000055 |
| Entity Name | South Big Horn County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811901515 PECOS PAC ID: 1254314107 Enrollment ID: O20171128000926 |
| Mailing Address | Practice Location Address |
|---|---|
| Audrie Christine Wisell, FNP Po Box 794, Roosevelt, UT 84066-0794 Ph: (435) 733-0752 | Audrie Christine Wisell, FNP 250 W 300 N, Roosevelt, UT 84066-2336 Ph: (435) 722-4691 |
Lori A Teem, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 W 300 N 75-3, Roosevelt, UT 84066 Phone: 435-722-3971 Fax: 435-722-6104 | |
Tanya Sarah Boren, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-4691 | |
Robert Nielson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-4691 | |
Carol F Rasmussen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 W 300 N, Roosevelt, UT 84066 Phone: 435-722-6163 Fax: 435-722-9291 | |
Lindsey Ellingford, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 58 N Main St, Roosevelt, UT 84066 Phone: 435-823-1371 | |
Mr. Samuel Mark Bertoch, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2750 North 2762 West, Roosevelt, UT 84066 Phone: 435-722-9250 |