Individual provider Active NPI

Amelia Marie Wenner, ARNP

  • Family Nurse Practitioner
  • Cedar Rapids, IA
National Provider Identifier
1851966808
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F04210275 Issued in IA
Practice address
1136 H Ave NE
Cedar Rapids, IA 52402-4624
Phone
(319) 362-8679
NPI assigned
May 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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 F04210275 IA Primary

Addresses

Primary practice location

1136 H Ave NE
Cedar Rapids, IA 52402-4624

Mailing address

1715 Memorial Dr SE
Cedar Rapids, IA 52403-4160
Phone (319) 936-0317

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
I20210813000289 IA Practitioner - Nurse Practitioner 5193129195 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vance Thompson Vision Clinic Prof LLCGroup PAC ID 1153567441, 43 clinicians
TTB Services Prof LLCGroup PAC ID 3476797135, 23 clinicians
Mercy Care Management, IncGroup PAC ID 2466343363, 35 clinicians

Practice addresses (Care Compare)

1136 H Ave NE
Cedar Rapids, IA 52402-4624
Phone (833) 440-7977

1138 H Ave NE
Vance Thompson Vis
Cedar Rapids, IA 52402-4624
Phone (833) 440-7977

5264 Council St NE
100 Mercycare North
Cedar Rapids, IA 52402-2477
Phone (319) 221-8444

Hospital & facility affiliations

  • Mercy Medical Center - Cedar Rapids Hospital, Cedar Rapids, IA, CCN 160079

Merit-based Incentive Payment System (MIPS)

Final score
92.77 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F04210275IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TTB Services Prof LLC CurrentSince Jan 15, 2025 Accepting new patients
Mercy Care Management, Inc Family CurrentSince Feb 24, 2025 Accepting new patients
Mercy Physician Associates, Inc Current Accepting new patients
Mercy Physician Associates Inc CurrentSince Feb 24, 2025 Accepting new patients
Mercy Care Management, Inc Family CurrentSince Feb 24, 2025 Accepting new patients
Mercy Physician Associates, Inc CurrentSince Feb 24, 2025 Accepting new patients
Vance Thompson Vision Clinic Prof LLC CurrentSince Nov 18, 2024 Accepting new patients

Locations

1138 H Ave NE
Cedar Rapids, IA 52402
Phone (319) 362-8979

1136 H Ave NE
Cedar Rapids, IA 52402
Phone (319) 362-9855

5264 Council St NE
Ste 100
Cedar Rapids, IA 52402
Phone (319) 221-8444

1790 Blairs Ferry Rd
Hiawatha, IA 52233
Phone (319) 378-8362

300 W May St
Marengo, IA 52301
Phone (319) 462-8011

3101 W 57th St
Sioux Falls, SD 57108
Phone (605) 361-3937

Interoperability endpoints

  • Direct secure messaging: awenner@vtv.intellechartdirect.net

Organizations & group practices 7

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": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1851966808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 MEMORIAL DR SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524034160",
            "telephone_number": "319-936-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 H AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024624",
            "telephone_number": "319-362-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENNER",
        "first_name": "AMELIA",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "F04210275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.