Innovative Wellness

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

INNOVATIVE WELLNESS

Practice address

14225 University Ave Ste 225
Waukee, IA 50263-8248

Phone

(515) 355-3200

Fax

(515) 598-7626

NPI assigned

Oct 20, 2025

Organization subpart

No

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

Authorized official

Name

Wendy White

Title

Credentialing Specialist

Phone

(304) 688-7027

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alicia Marie Grassley, ARNP

  • Family Nurse Practitioner
  • Des Moines, IA
  • NPI 1508560988
  Medicare reassignment NPD
• Rebecca McCann, NP

  • Nurse Practitioner
  • Creston, IA
  • NPI 1417350257

  Family

  Medicare reassignment NPD
• Leslie Brooke Charleville, ARNP

  • Family Nurse Practitioner
  • Indianola, IA
  • NPI 1043818941
  Medicare reassignment
• Michon Dianne Leddy, PA-C

  • Physician Assistant
  • Clive, IA
  • NPI 1033190467
  NPD (past)

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1477420073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14225 UNIVERSITY AVE STE 225",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638248",
            "telephone_number": "515-355-3200",
            "fax_number": "515-598-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14225 UNIVERSITY AVE STE 225",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638248",
            "telephone_number": "515-355-3200",
            "fax_number": "515-598-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "304-688-7027"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian David Hunziker, DPM
• Hy-Vee Inc (Hy-Vee Pharmacy (1873))
• Iadakne Medical
• Infinex Healthcare LLC
• Infinity Chiropractic Center LLC
• Iowa CVS Pharmacy LLC
• Iowa Orthopaedic Center, P.C.
• Iowa Physicians Clinic Medical Foundation (Iowa Health Physicians)
• Iowa Physicians Clinic Medical Foundation (Iowa Health Physicians)
• Iowa Physicians Clinic Medical Foundation (Iowa Health Physicians)

• Family Nurse Practitioner in Waukee, IA
• Providers in Waukee, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.