Michelle Cherie Wieneke, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A03213 Issued in AR

Practice address

16312 Grackle Dr
Rogers, AR 72756-7742

Phone

(479) 481-6599

Fax

(479) 413-8927

NPI assigned

Dec 17, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

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

Interoperability endpoints

• Direct secure messaging: michelle.wieneke@583777111441412.direct.elationemr.com

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1740426972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16312 GRACKLE DR",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727567742",
            "telephone_number": "479-481-6599",
            "fax_number": "479-413-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16312 GRACKLE DR",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727567742",
            "telephone_number": "479-481-6599",
            "fax_number": "479-413-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENEKE",
        "first_name": "MICHELLE",
        "middle_name": "CHERIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-17",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A03213",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "ATP000182",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177309758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin R White, D.P.T
• Madison White
• Trinity Talyn White
• Melissa Lee Whiting
• Lighla Whitson, M.S., CF-SLP
• Bradley Wierda, CRNA
• Jeanie Marie Wiertzema, P.T.
• Angela Wieser
• Shelby Wigginton
• William C. Wigington, D.O.

• Nurse Practitioner in Rogers, AR
• Providers in Rogers, AR by specialty
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.