Ms Justine Marie Wambach, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Waubun, Minnesota. Her current practice location is
1111 1st St, Waubun, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 204-0180.
Ms Justine Marie Wambach is licensed to practice in Minnesota (license number 3295) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1700075678.
Provider's Profile
| Full Name | Ms Justine Marie Wambach |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1111 1st St, Waubun, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1700075678
- Provider Enumeration Date: 10/17/2007
- Last Update Date: 04/13/2026
Medicare PECOS Information:
- PECOS PAC ID: 2163677436
- Enrollment ID: I20191113001044
Medical Identifiers
Medical identifiers for Ms Justine Marie Wambach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1700075678 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 3295 (Minnesota) | Primary |
| 163W00000X | Registered Nurse | R1819494 (Minnesota) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Justine Marie Wambach is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ms Justine Marie Wambach, FNP-C 29664 County Road 112, Waubun, MN 56589-2800 Ph: (218) 204-0180 | Ms Justine Marie Wambach, FNP-C 1111 1st St, Waubun, MN 56589-4047 Ph: (218) 204-0180 |
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