Cheryl A Wieweck, NNP

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

098549 Issued in AZ

Practice address

3555 S Val Vista Dr
Gilbert, AZ 85297-7323

Phone

(602) 933-6345

NPI assigned

Feb 25, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Phoenix Children'S Hospital

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1922112044
  Medicare reassignment NPD
• Phoenix Children'S Medical Group

  • Multi-Specialty Clinic/Center
  • Mesa, AZ
  • NPI 1487814240
  NPD
• Neonatology Associates, LTD

  • Ph.D. Medical Genetics
  • Phoenix, AZ
  • NPI 1275569501

  Neonatal-Perinatal Medicine

  NPD (past)

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1508035551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 E CAMELBACK RD STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182327",
            "telephone_number": "602-933-1814",
            "fax_number": "602-266-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 S VAL VISTA DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977323",
            "telephone_number": "602-933-6345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 West Clarendon Ave",
            "address_2": "Suite 375",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850133498",
            "country_code": "US",
            "telephone_number": "602-277-4161 x36",
            "fax_number": "602-266-3481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIEWECK",
        "first_name": "CHERYL",
        "middle_name": "A",
        "credential": "NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-25",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "AZ",
            "license": "RN098549",
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "AZ",
            "license": "098549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "TBD",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TBD",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Michael Widger
• Anna Wielinski
• Julia Elizabeth Wiens, LMSW
• Sierra C Wiese, SLPA
• Ariel Kaye Wiesner, SLPA
• Colleen R Wight, PA-C
• Kati Wijdenes, DNP
• Eliza Evelyn Wilbur, MS, CCC-SLP
• Gina Del Wilcken, COTA/L
• Grace Wilcock, LPN, CLC

• Neonatal Nurse Practitioner in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Neonatal Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.