WILLIAM WENSTROM ACNP NPI 1013170653

NPI Information

  • NPI: 1013170653
  • Provider Name: WILLIAM WENSTROM, ACNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4300 HOSPITAL ST STE 102
    PASCAGOULA, MS
    ZIP 39581
  • Phone: (228) 809-5110

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NPI Details

William Wenstrom, ACNP is an acute care nurse practitioner in Pascagoula, MS with 19 years of experience. William Wenstrom, ACNP NPI is 1013170653. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4300 HOSPITAL ST STE 102
PASCAGOULA, MS
ZIP 39581-308
Phone: (228) 809-5110
Fax: (228) 372-8271

The NPI 1013170653 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/3/2008 and was last updated on 4/9/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute Care851481MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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