MICHELLE MARIE WUESTE, M.D. — NPI 1902893084 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Occupational Medicine in EDWARDS AFB, CA)

CMS-1500 Box 24J / 33a • NPI

1902893084

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

2083X0100X (CMS 84)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Occupational Medicine

Box 32 Service Location & ZIP+4

55 N WOLFE AVE BLDG 3925, EDWARDS AFB, CA, 93524-6201

✓ 9-Digit EDI 837 ZIP+4 (93524-6201)

Practice Phone & Referral Fax

(661) 277-2573

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1902893084 (MICHELLE MARIE WUESTE, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1902893084` (NPI-1 Individual Practitioner)
Provider / Legal Name	MICHELLE MARIE WUESTE, M.D.
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Occupational Medicine NUCC Code: `2083X0100X` (Preventive Medicine, Occupational Medicine)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	55 N WOLFE AVE BLDG 3925, EDWARDS AFB, CA, 93524-6201
Practice Telephone / Fax	Tel: (661) 277-2573
Administrative Mailing Address	55 N WOLFE AVE BLDG 3925, EDWARDS AFB, CA, 93524-6201
Enumeration & Last Sync	Enumerated: 2005-10-04 \| CMS Record Updated: 2022-03-03

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

55 N WOLFE AVE BLDG 3925, EDWARDS AFB, CA, 93524-6201

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Plain-English Taxonomy & CMS Crosswalk (2083X0100X)

What Does Taxonomy Code 2083X0100X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2083X0100X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Occupational Medicine"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 84 (Physician/Preventive Medicine)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Preventive Medicine, Occupational Medicine for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MICHELLE MARIE WUESTE, M.D.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`171000000X` — Military Health Care Provider Plain English: Licensed & Credentialed Military Health Care Provider	State: N/A \| License: `Verified` \| Primary: Secondary
`208000000X` — Pediatrics Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)	State: CA \| License: `A90199` \| Primary: Secondary
`2083X0100X` — Preventive Medicine, Occupational Medicine Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Occupational Medicine	State: CA \| License: `A90199` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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MICHELLE MARIE WUESTE, M.D. (NPI #1902893084)