Individual provider Active NPI

Marla Benita Wehrwein, CRNP

  • Family Nurse Practitioner
  • Boaz, AL
National Provider Identifier
1215652482
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-092557 Issued in AL
Practice address
2986 US Highway 431
Boaz, AL 35957-5848
Phone
(256) 840-8181
NPI assigned
Oct 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-092557 AL Primary

Addresses

Primary practice location

2986 US Highway 431
Boaz, AL 35957-5848

Mailing address

3689 Oak Dr
Boaz, AL 35956-2456
Phone (256) 557-6277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221222001164 AL Practitioner - Nurse Practitioner 8527438118 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Russellville Hospital Inc.Group PAC ID 3476878489, 66 clinicians

Practice addresses (Care Compare)

13150 Hwy 43
Suite 10
Russellville, AL 35653-4566
Phone (256) 332-5901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-092557ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Doctors Family Medical Center LLC CurrentSince Oct 17, 2022 Accepting new patients
Russellville Hospital Inc CurrentSince Sep 2, 2023 Accepting new patients
Eastern Hospital Medicine PC CurrentSince Jun 9, 2024 Accepting new patients
Russellville Hospital Inc CurrentSince Sep 2, 2023 Accepting new patients
Eastern Hospital Medicine PC CurrentSince Jun 9, 2024 Accepting new patients
Russellville Hospital Inc Past Accepting new patients

Locations

50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000

15225 Highway 43
Ste I
Russellville, AL 35653
Phone (256) 331-2700

Interoperability endpoints

  • FHIR API: https://fhir.yourcareuniverse.net/tenant/15210b52-659d-4e08-a38d-3a74b25af386

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1215652482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3689 OAK DR",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359562456",
            "telephone_number": "256-557-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2986 US HIGHWAY 431",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575848",
            "telephone_number": "256-840-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEHRWEIN",
        "first_name": "MARLA",
        "middle_name": "BENITA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-092557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boaz, AL

Sources for this page

Verify at the official NPI Registry.