Angelica Wehrle

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209020370 Issued in IL

Practice address

1000 Red Ball TRL
Greenville, IL 62246-2781

Phone

(618) 664-1240

Fax

(618) 690-2189

NPI assigned

Dec 3, 2019

Last updated

Dec 3, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ECDGDD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greenville Family Medicine, LLC

  • Family Medicine Physician
  • Greenville, IL
  • NPI 1245836782
  NPD
• Greenville Family Medicine, LLC

  • Rural Health Clinic/Center
  • Greenville, IL
  • NPI 1396336970
  NPD

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1912544420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 NETWORK CENTRE DR STE 3",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624014632",
            "telephone_number": "217-347-5917",
            "fax_number": "217-347-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 RED BALL TRL",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622462781",
            "telephone_number": "618-664-1240",
            "fax_number": "618-690-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEHRLE",
        "first_name": "ANGELICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209020370",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209020370",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damon T Vincent, MD
• Vituity - Illinois Infectious Disease Specialists, P.C.
• Billy Lee Viviano, DC
• Mikaella Mari Walker, M.A., LCPC
• Watsons Drug Store Inc (Watsons Drug Store)
• Aften Wessel, FNP
• Anna White
• Lacey Wiegmann
• Amanda Wilkie, LMT
• Kalei Nguyen Wilson, DDS

• Nurse Practitioner in Greenville, IL
• Providers in Greenville, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.