Individual provider Active NPI

Armella L Wissink, NP

  • Nurse Practitioner
  • Dubuque, IA
National Provider Identifier
1699657502
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2025022625 Issued in IA
Practice address
16370 Coventry LN
Dubuque, IA 52001-0122
Phone
(608) 412-3024
NPI assigned
Jul 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2025022625 IA Primary

Addresses

Primary practice location

16370 Coventry LN
Dubuque, IA 52001-0122

Mailing address

16370 Coventry LN
Dubuque, IA 52001-0122
Phone (608) 412-3024

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
I20251218004189 IA Practitioner - Nurse Practitioner 5496240285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Historic Bluffs Family Practice Clinic PCGroup PAC ID 2668892407, 2 clinicians

Practice addresses (Care Compare)

666 Loras Blvd
Dubuque, IA 52001-6233
Phone (563) 239-1175

Hospital & facility affiliations

  • Finley Hospital Hospital, Dubuque, IA, CCN 160117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2025022625IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Historic Bluffs Family Practice Clinic., PC CurrentSince Nov 1, 2025 Accepting new patients

Locations

666 Loras Blvd
Dubuque, IA 52001
Phone (563) 239-1175

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 1

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": "1753142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1699657502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16370 COVENTRY LN",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520010122",
            "telephone_number": "608-412-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16370 COVENTRY LN",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520010122",
            "telephone_number": "608-412-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISSINK",
        "first_name": "ARMELLA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "2025022625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.