MR. DAVID MICHAEL WENNER (ACNP-BC, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1942556642

MR. DAVID MICHAEL WENNER (ACNP-BC, PMHNP-BC) is a healthcare provider. based in Warren, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials ACNP-BC, PMHNP-BC. They hold a License No. 4704255142 (MI). The NPI Number for MR. DAVID MICHAEL WENNER (ACNP-BC, PMHNP-BC) is 1942556642

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
MR. DAVID MICHAEL WENNER (ACNP-BC, PMHNP-BC)
NPI
1942556642
Phone
(586) 576-4362
Address
11800 E 12 MILE RD
Enumeration Date
31 July 2012
Last Update Date
22 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2487454900
Graduation Year
2011 (15 years ago)
PAC ID
5395040950
Group Practice PAC ID
8729980198
Professional Enrollment ID
I20160219001843
Address ID
MI483752960NO24230BLVD301
Telehealth
Yes

Contacts

Secure Messaging
pcerecords.cnsmi@direct.mihn.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

8,105 NURSE PRACTITIONER in MI

Provider Addresses for MR. DAVID MICHAEL WENNER (ACNP-BC, PMHNP-BC)

  • 11800 E 12 MILE RD

    WARREN, MI 480933472

    Phone: (586) 576-4362

    Type: Mailing

  • 279 SUMMIT DR

    WATERFORD, MI 483283364

    Phone: (248) 871-1496

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $412.

Total Amount is formed as General ($412) + Research ($0) + Ownership ($0) = $412.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Indivior Inc. ($299).

Total Amount

$412

General + Research + Ownership

Payments

20

Total payment records

General Amount

$412

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-02-19

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
I20160219001843INurse PractitionerMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes14647$0
View full utilization report →

Insurance plans in this area (ZIP 48093)

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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: 8729980198View full group profile

Reviews

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Frequently asked questions

Is MR. DAVID MICHAEL WENNER (ACNP-BC, PMHNP-BC) listed with a National Provider Identifier?
Yes — MR. DAVID MICHAEL WENNER (ACNP-BC, PMHNP-BC) has NPI 1942556642 on file in the registry.
Is there an active status for MR. DAVID MICHAEL WENNER (ACNP-BC, PMHNP-BC)?
For scheduling context, MR. DAVID MICHAEL WENNER (ACNP-BC, PMHNP-BC) is shown as active in the registry.
What clinical focus is listed for MR. DAVID MICHAEL WENNER (ACNP-BC, PMHNP-BC)?
At a glance, MR. DAVID MICHAEL WENNER (ACNP-BC, PMHNP-BC) is tied to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MR. DAVID MICHAEL WENNER (ACNP-BC, PMHNP-BC) associated with Warren?
Public fields place MR. DAVID MICHAEL WENNER (ACNP-BC, PMHNP-BC) around Warren, Michigan. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for MR. DAVID MICHAEL WENNER (ACNP-BC, PMHNP-BC) is noted as July 31, 2012 where the registry provides it.

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