DEANNA WENNBERG (FNP-C) – Family Nurse Practitioner, NPI 1053772830
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,105 NURSE PRACTITIONER in MI
Provider Addresses for DEANNA WENNBERG (FNP-C)
3011 COHOCTAH ROAD
FOWLERVILLE, MI 48836
Phone: (517) 861-6229
Type: Mailing
800 E Columbia St
Mason, MI 488541381
Phone: (517) 244-8900
Fax: (517) 244-8911
Type: Location
1120 E Michigan Ave Ste A
Lansing, MI 489121810
Phone: (517) 364-9790
Fax: (517) 364-9791
Type: Location
1015 Charlevoix Dr
Grand Ledge, MI 488372278
Phone: (517) 627-0100
Fax: (517) 627-0150
Type: Location
2682 E Grand River Ave
East Lansing, MI 488235608
Phone: (517) 333-6562
Fax: (517) 333-6563
Type: Location
1200 E Michigan Ave Ste 101
Lansing, MI 489121800
Phone: (517) 364-5552
Fax: (517) 364-5544
Type: Location
1200 E MICHIGAN AVE STE 101
LANSING, MI 489121800
Phone: (517) 364-5552
Fax: (517) 364-5544
Type: Mailing
Sparrow Hospital, 1215, East Michigan Avenue, Lansing, Lansing Charter Township, Ingham County, Michigan, 48912, United States
LANSING, MI 48912
Phone: (517) 364-1000
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: 2016-03-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160324000263 | I | Nurse Practitioner | MI | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 94 | 88 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 31 | 31 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 48836)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| - | MI | |
| Family Practice | MI | |
| - | MI | |
| P A T H O L O G Y | IL | |
| Nurse Practitioner | MI | |
| Vascular Surgery, General Surgery | MI | |
| Internal Medicine | MI | |
| Family Practice | MI | |
| Diagnostic Radiology | MI |
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