Mirabel Wenja

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

APRN-NP332774 Issued in GA

Practice address

3134 Grove View CT
Dacula, GA 30019-6895

Phone

(602) 688-3778

NPI assigned

Jan 21, 2026

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

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Capstone Hospice, LLC

  • Community Based Hospice Care Agency
  • Peachtree Corners, GA
  • NPI 1598134975
  Medicare reassignment

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

{
    "created_epoch": "1768953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1407715741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3134 GROVE VIEW CT",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300196895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3134 GROVE VIEW CT",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300196895",
            "telephone_number": "602-688-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENJA",
        "first_name": "MIRABEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-21",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "APRN-NP332774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Weinsheim
• Samantha Weiss, MS, CCC-SLP
• Jamie Ann Wells
• Latonia Wells
• Wellstreet of Georgia PC
• Madison West
• Sheena Ashley Whitmire, PTA
• Lisa Wiggins, REGISTERED DIETITIAN
• Asiah Lavonne Wilborn
• Hermance Williams, REGISTERED NURSE

• Adult Health Nurse Practitioner in Dacula, GA
• Providers in Dacula, GA by specialty
• Adult Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.

Verify at the official NPI Registry.