Active NPI
Erin L Wheeler, FNP-BC
- Family Nurse Practitioner
- Keokuk, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A1300376
- Practice address
- 400 N 17TH St
Keokuk, IA 52632-3452 - Phone
- (319) 524-5734
- Fax
- (319) 524-5758
- NPI assigned
- Dec 20, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2000164074 | MO | |
| Family Nurse Practitioner | 363LF0000X | A1300376 | IA | Primary |
Addresses
Primary practice location
400 N 17TH St
Keokuk, IA 52632-3452
Mailing address
1706 W Agency Rd
West Burlington, IA 52655-1667
Phone (319) 768-5858
Other practice location 1
1618 Main St
Keokuk, IA 52632-3928
Phone (319) 524-5734
Other names 1
- Erin L Mallon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- 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
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1706 W Agency Rd
West Burlington, IA 52655-1667
Phone (319) 768-5858
400 N 17TH St
Keokuk, IA 52632-3452
Phone (319) 524-5734
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1300376 | IA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers of Southeastern Iowa Inc | Current | Accepting new patients |
Locations
2409 Spring St
Columbus City, IA 52737
Phone (319) 728-7400
1618 Main St
Keokuk, IA 52632
Phone (319) 524-5734
400 N 17th St
Keokuk, IA 52632
Phone (319) 524-5734
1706 W Agency Rd
West Burlington, IA 52655
Phone (319) 768-5858
Interoperability endpoints
- ewheeler639096@direct.ochin.org
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- West Burlington, IA
- NPI 1255339750
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Mount Pleasant, IA
- NPI 1811571417
-
- General Acute Care Hospital
- West Burlington, IA
- NPI 1134168263
-
- Critical Access Hospital
- Carthage, IL
- NPI 1730139031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1558347773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1706 W AGENCY RD",
"city": "WEST BURLINGTON",
"state": "IA",
"postal_code": "526551667",
"telephone_number": "319-768-5858",
"fax_number": "319-752-4653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N 17TH ST",
"city": "KEOKUK",
"state": "IA",
"postal_code": "526323452",
"telephone_number": "319-524-5734",
"fax_number": "319-524-5758"
}
],
"practiceLocations": [
{
"address_1": "1618 Main St",
"address_purpose": "LOCATION",
"city": "Keokuk",
"state": "IA",
"postal_code": "526323928",
"country_code": "US",
"telephone_number": "319-524-5734",
"fax_number": "319-524-5758",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHEELER",
"first_name": "ERIN",
"middle_name": "L",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-20",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2000164074",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A1300376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "MALLON",
"middle_name": "L",
"credential": "RNCFNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Keokuk, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.