Michelle Leigh Weckenbrock, PMHNP-BC, FNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

CO0990346 Issued in CO

Practice address

514 28 1/4 Rd Unit 3
Grand Junction, CO 81501-4961

Phone

(970) 208-3448

Fax

(970) 773-9405

NPI assigned

Mar 14, 2012

Last updated

Mar 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Roam & Wonder Wellness, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Grand Junction, CO
  • NPI 1922862069
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1083989750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 28 1/4 RD UNIT 3",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815014961",
            "fax_number": "970-773-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 28 1/4 RD UNIT 3",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815014961",
            "telephone_number": "970-208-3448",
            "fax_number": "970-773-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WECKENBROCK",
        "first_name": "MICHELLE",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-14",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "CO0990346",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "CO0990346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryne Webb, PHARM.D.
• Corina Weber
• Leroy Arthur Weber, MD
• Patricia B Weber, MD
• Taylor Brianne Webster
• Madison Lynne Weckerly
• Duane Robert Weenig, DDS, MS
• Abigail Smith Wehner
• Cynthia Weiland, PHYSICAL THERAPIST
• Grace Weiland

• Psychiatric/Mental Health Nurse Practitioner in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.