Individual provider Active NPI

Bethany Lynne Wheeler

  • Family Nurse Practitioner
  • Iowa City, IA
National Provider Identifier
1962230797
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A180548 Issued in IA
Practice address
227 N Dubuque St
Iowa City, IA 52245-1714
Phone
(319) 337-2111
NPI assigned
Jul 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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 A180548 IA Primary

Addresses

Primary practice location

227 N Dubuque St
Iowa City, IA 52245-1714

Mailing address

227 N Dubuque St
Iowa City, IA 52245-1714

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
I20241011003847 IA Practitioner - Nurse Practitioner 8527590702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1715 1St Ave SE
Suite 200
Cedar Rapids, IA 52402-5432

7619 W Jefferson Blvd
Fort Wayne, IN 46804-4133

PO Box
Suite 744577
Atlanta, GA 30374-4577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A180548IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Physician Group, Iowa LLC Family CurrentSince Oct 21, 2024 Accepting new patients
Hy-Vee Health Exemplar Care PLC CurrentSince May 1, 2025 Accepting new patients
Women'S Health Project, Inc. PastSince Jul 28, 2024 Accepting new patients

Locations

2801 Heartland Dr
Coralville, IA 52241
Phone (319) 645-4001

7300 Westown Pkwy
Ste 330
West Des Moines, IA 50266
Phone (515) 650-4370

Interoperability endpoints

  • Direct secure messaging: bethany.wheeler.1@25062.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1962230797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 N DUBUQUE ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522451714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 N DUBUQUE ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522451714",
            "telephone_number": "319-337-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "BETHANY",
        "middle_name": "LYNNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A180548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.