Individual provider Active NPI

Michaela Henneberry, DNP, ARNP, FNP-C

  • Family Nurse Practitioner
  • Cedar Rapids, IA
National Provider Identifier
1639003809
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A189940 Issued in IA
Practice address
1005 Blairs Ferry Rd NE Ste 30
Cedar Rapids, IA 52402-1292
Phone
(319) 289-7779
Fax
(319) 320-4644
NPI assigned
Jun 11, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A189940 IA Primary

Addresses

Primary practice location

1005 Blairs Ferry Rd NE Ste 30
Cedar Rapids, IA 52402-1292

Mailing address

6800 Lake Dr Ste 285
West Des Moines, IA 50266-2544
Phone (515) 226-3116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3912 Pine Wood Dr NE
Cedar Rapids, IA 52402-1752

6000 University Ave
Suite 350
West Des Moines, IA 50266-8241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1781136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1639003809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 LAKE DR STE 285",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502662544",
            "telephone_number": "515-226-3116",
            "fax_number": "515-223-9341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 BLAIRS FERRY RD NE STE 30",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524021292",
            "telephone_number": "319-289-7779",
            "fax_number": "319-320-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNEBERRY",
        "first_name": "MICHAELA",
        "credential": "DNP, ARNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-11",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A189940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.