Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mackenzie Jane Wieser

Individual provider Family Nurse Practitioner · NPI 1972280550

Mackenzie Jane Wieser is a Nurse Practitioner in Wahpeton, North Dakota. Qualified in 2023, 3 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
3
Licensed in
ND
In the registry since
2023

Practice location Address checks out

332 2nd Ave N
Wahpeton, ND 58075-4528
Phone: (701) 642-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 401 12th St N, Wheaton, MN 56296-1070 — (320) 563-8226
  • 205 Orchard Dr, Sisseton, SD 57262-2312 — (605) 698-4665

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R44992 (ND)

Record details

NPI number1972280550
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 5, 2023
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025
Mailing addressPo Box 5074, Sioux Falls, SD 57117-5074

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Sanford Medical Center Fargo — 1212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Wahpeton