Individual provider Active NPI

Erin L Wheeler, FNP-BC

  • Family Nurse Practitioner
  • Keokuk, IA
National Provider Identifier
1558347773
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A1300376 Issued in IA
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

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150218001771 IA Practitioner - Nurse Practitioner 6305002221 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
A1300376IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.