Active NPI
Kenneth Gene Wetjen, CRNA
- Religious Nonmedical Nursing Personnel
- Iowa City, IA
National Provider Identifier
1194769737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Religious Nonmedical Nursing Personnel
- License
- R 094024-1
- Practice address
- 601 Highway 6 W
Iowa City, IA 52246-2292 - Phone
- (319) 338-0581
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Religious Nonmedical Nursing Personnel | 374T00000X | R 094024-1 | MN | Primary |
Addresses
Primary practice location
601 Highway 6 W
Iowa City, IA 52246-2292
Mailing address
18 Phoenix PL
Iowa City, IA 52246-8665
Phone (319) 339-0097
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R 094024-1 | Other | NURSING LISCENSE |
Other names 1
- Mr. Kenneth Gene Wetjen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 094024-1 | MN | MD | Religious Nonmedical Nursing Personnel |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1194769737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 PHOENIX PL",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522468665",
"telephone_number": "319-339-0097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 HIGHWAY 6 W",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522462292",
"telephone_number": "319-338-0581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WETJEN",
"first_name": "KENNETH",
"middle_name": "GENE",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "374T00000X",
"taxonomy_group": "",
"desc": "Religious Nonmedical Nursing Personnel",
"state": "MN",
"license": "R 094024-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSING LISCENSE",
"identifier": "R 094024-1",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KENNETH",
"last_name": "WETJEN",
"middle_name": "GENE",
"prefix": "MR.",
"credential": "CRNA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.