Luella Corine Wheeler-Ikuesan, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN066854 Issued in GA

Practice address

1990 Lakeside Pkwy
Suite 170
Tucker, GA 30084-5884

Phone

(770) 938-1757

Fax

(770) 938-1759

NPI assigned

Jul 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Merit-based Incentive Payment System (MIPS)

Final score

50.51 of 100Reported as group

Quality

16.39

Improvement activities

20

Cost

79.97

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Community Primary Care of Georgia LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Gray, GA
  • NPI 1336492511
  Medicare reassignment NPD
• Vision Medical Consulting, P.C.

  • Family Medicine Physician
  • Tucker, GA
  • NPI 1073562922
  Medicare reassignment NPD
• Optimus Diagnostics LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Macon, GA
  • NPI 1144609876
  NPD

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1881611663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6633 EASTBRIAR DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300588945",
            "telephone_number": "770-484-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 LAKESIDE PKWY",
            "address_2": "SUITE 170",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845884",
            "telephone_number": "770-938-1757",
            "fax_number": "770-938-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER-IKUESAN",
        "first_name": "LUELLA",
        "middle_name": "CORINE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN066854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellstreet of Georgia PC
• Michael L Werner, PA
• Eric Brodey Wertz, PT, DPT
• Sharmele West-Smith, MASTECTOMY FITTER
• Daniel Russell West, D.D.S.
• Mary Cailan Wheeler
• White Lightning PC
• Adrienne D. White, LAPC, NCC
• Crystal White
• Lisa K White, D.C.

• Family Nurse Practitioner in Tucker, GA
• Providers in Tucker, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.