Individual provider Active NPI

Michaela Kristine Wheatley, ARNP

  • Nurse Practitioner
  • Sioux City, IA
National Provider Identifier
1326524844
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A126220 Issued in IA
Practice address
801 5TH St
Sioux City, IA 51101
Phone
(712) 279-2066
NPI assigned
Jul 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A126220 IA Primary

Addresses

Primary practice location

801 5TH St
Sioux City, IA 51101

Mailing address

801 5TH St
Sioux City, IA 51101
Phone (712) 279-2066

Other identifiers 1

IdentifierTypeStateIssuer
0412233MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180815003640 IA Practitioner - Nurse Practitioner 4688923253 Reassigns benefits to 2 organizations
I20240515001397 TX Practitioner - Nurse Practitioner 4688923253 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winnebago Tribe of Nebraska 32 clinicians
Woodbury Emergency Group, PC 16 clinicians

Practice addresses (Care Compare)

225 Bluff St
Winnebago, NE 68071-9703

801 5TH St
Sioux City, IA 51101-1326
Phone (712) 279-2010

Hospital & facility affiliations

  • St Lukes Regional Medical Center Hospital, Sioux City, IA, CCN 160146
  • Twelve Clans Unity Hospital Hospital, Winnebago, NE, CCN 280059

Merit-based Incentive Payment System (MIPS)

Final score
92.04 of 100Reported as group
Quality
82.85
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A126220IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Winnebago Tribe of Nebraska CurrentSince Apr 7, 2024 Accepting new patients
Woodbury Emergency Group, PC Nurse Practitioner CurrentSince Jun 24, 2019 Accepting new patients
Community Care Health Network LLC Nurse Practitioner CurrentSince Jul 1, 2021 Accepting new patients
Winnebago Tribe of Nebraska CurrentSince Apr 10, 2024 Accepting new patients
Winnebago Tribe of Nebraska CurrentSince Apr 7, 2024 Accepting new patients
Northwest Iowa Hospital Corporation Nurse Practitioner CurrentSince Jan 12, 2022 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

4620 E 53rd St
Ste 200
Davenport, IA 52807
Phone (563) 213-5100

2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000

801 5th St
Sioux City, IA 51101
Phone (712) 279-2010

225 Bluff St
Winnebago, NE 68071
Phone (402) 745-3950

Interoperability endpoints

  • Direct secure messaging: manderson125461@direct.unitypoint.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1326524844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 5TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "51101",
            "telephone_number": "712-279-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 5TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "51101",
            "telephone_number": "712-279-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEATLEY",
        "first_name": "MICHAELA",
        "middle_name": "KRISTINE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A126220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0412233",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.