Active NPI
Marla Benita Wehrwein, CRNP
- Family Nurse Practitioner
- Boaz, AL
National Provider Identifier
1215652482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-092557
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1-092557 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Doctors Family Medical Center LLC | Current | Accepting new patients | |
| Russellville Hospital Inc | Current | Accepting new patients | |
| Eastern Hospital Medicine PC | Current | Accepting new patients | |
| Russellville Hospital Inc | Current | Accepting new patients | |
| Eastern Hospital Medicine PC | Current | 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
- 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.
-
- Family Medicine Physician
- Russellville, AL
- NPI 1780232314
-
- Internal Medicine Physician
- Birmingham, AL
- NPI 1104859123
-
- Internal Medicine Physician
- Boaz, AL
- NPI 1013313709
-
- Internal Medicine Physician
- Birmingham, AL
- NPI 1982418141
-
- Rural Health Clinic/Center
- Russellville, AL
- NPI 1508491093
-
- Rural Health Clinic/Center
- Russellville, AL
- NPI 1033671631
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.