Mary Therese Sorensen Wiederhold
NPI 1598683021ActiveIndividual· Nurse Practitioner, Primary Care· Maumee, OH
Nurse Practitioner, Primary Care with Stafford Services, Inc., practicing in Maumee, Ohio. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1598683021 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jul 10, 2026 |
| Last updated in NPPES | Jul 10, 2026 |
| Certified by provider | Jul 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | APRN.CNP.0042672 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (OH) |
|---|
Education and affiliations
| Graduation year | 2026 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Stafford Services, Inc.Parma, OH · 32 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other primary care nurse practitioners in Maumee
- 1164968483