Diana Wemhoff, APRN, BC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

021440122 Issued in MO

Practice address

1501 Union Ave Ste D
Moberly, MO 65270-9469

Phone

(660) 263-4770

Fax

(660) 263-2228

NPI assigned

Sep 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Moberly Physicians Corp

  • Family Medicine Physician
  • Moberly, MO
  • NPI 1417013129
  NPD (past)
• Pegasus Emergency Group Moberly

  • Emergency Medicine Physician
  • Moberly, MO
  • NPI 1144453127
  NPD (past)

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1114029451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 UNION AVE STE D",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652709469",
            "telephone_number": "660-263-4770",
            "fax_number": "660-263-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 UNION AVE STE D",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652709469",
            "telephone_number": "660-263-4770",
            "fax_number": "660-263-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEMHOFF",
        "first_name": "DIANA",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MO",
            "license": "021440122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114029451",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "diana.wemhoff.1@2622.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1501 Union Ave Ste D",
            "city": "Moberly",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652709469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Walgreen Co
• William George Wall II, CRNA
• Wanless Ear, Nose & Throat LLC
• Kirk M Wanless, MD
• Rebekah Sue Weidenaar, PLPC
• Misty Joyce Werkmeister, PLPC
• Taylor M Wesley, PHYSICIAN ASSISTANT
• Haley Wiggans, FNP-BC
• Brandie Lynn Wilkerson, PHARM. D.
• Shannon Elaine Wilkinson, MS CF-SLP

• All providers in Moberly, MO
• Primary Care Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.