RENATA JOY WHEELER (APN-BC) – Adult Health Nurse Practitioner, NPI 1679839104

RENATA JOY WHEELER (APN-BC) is a healthcare provider. based in Pueblo, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials APN-BC. They hold a License No. 054550-23 (NH). The NPI Number for RENATA JOY WHEELER (APN-BC) is 1679839104

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
RENATA JOY WHEELER (APN-BC)
NPI
1679839104
Phone
(719) 557-3700
Address
2004 Lake Ave
Enumeration Date
10 April 2012
Last Update Date
4 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7195573700
Graduation Year
1991 (35 years ago)
PAC ID
6800050287
Group Practice PAC ID
8022927342
Professional Enrollment ID
I20250213003909
Address ID
CO810043536PU2004XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:14State licenses:2Digital endpointsOther names

5,201 NURSE PRACTITIONER in CO

Provider Addresses for RENATA JOY WHEELER (APN-BC)

  • 2004 Lake Ave

    Pueblo, CO 810043536

    Phone: (719) 557-3700

    Fax: (719) 557-3701

    Type: Location

  • 1 MEDICAL CENTER DR

    DARTMOUTH HITCHCOCK - COMPREHENSIVE WOUND HEALING CTR

    LEBANON, NH 037561000

    Phone: (603) 653-6000

    Type: Mailing

  • 2695 ROCKY MOUNTAIN AVE STE 150

    LOVELAND, CO 805389071

    Phone: (970) 624-4127

    Fax: (970) 490-4173

    Type: Mailing

  • 1625 MEDICAL CENTER PT STE 220

    COLORADO SPRINGS, CO 809075798

    Phone: (719) 364-5080

    Fax: (719) 364-5081

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250213003909INurse PractitionerCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81004)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022927342View full group profile
NameSpecialtyState
Physician AssistantCO
Radiation OncologyTX
-CO
Hospitalist, General Practice, Family PracticeCO
Cardiovascular Disease (Cardiology)NM
Family PracticeOK
Internal MedicineCO
-IL
H E M A T O L O G Y/ O N C O L O G YTX
Internal MedicinePA

Reviews

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Frequently asked questions

What is the registry number for RENATA JOY WHEELER (APN-BC)?
The registry entry for RENATA JOY WHEELER (APN-BC) shows NPI 1679839104.
Should I treat RENATA JOY WHEELER (APN-BC) as an active provider?
Patients and plans typically see RENATA JOY WHEELER (APN-BC) as active in the national extract.
Which specialty label fits RENATA JOY WHEELER (APN-BC)?
NPPES ties RENATA JOY WHEELER (APN-BC) to Adult Health Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to RENATA JOY WHEELER (APN-BC)?
RENATA JOY WHEELER (APN-BC) is associated with Pueblo, Colorado in the same public data insurers reference.
Can I export RENATA JOY WHEELER (APN-BC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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