MRS. AMBER LYNN WENNERSTROM DNP, PMHNP-C
NPI 1144844572
Nurse Practitioner - Psychiatric/Mental Health in Centralia, IL

Active since June 01, 2020PECOS EnrolledAccepts Medicare Assignment
444 N PLEASANT AVE, CENTRALIA, IL 62801(618) 436-5665 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 21, 2020, Jun 2, 2020 (2 updates tracked since 2020).

About Mrs. Amber Lynn Wennerstrom Dnp, Pmhnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. AMBER LYNN WENNERSTROM DNP, PMHNP-C (NPI 1144844572) is an individual psychiatric/mental health provider in Centralia, Illinois, licensed in Illinois (209021350) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital -centralia, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1144844572
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. AMBER LYNN WENNERSTROMCredential: DNP, PMHNP-C
Location Address444 N PLEASANT AVECentralia, IL 62801-3006
Mailing Address550 Clinton StCarlyle, IL 62231-1504 · (618) 920-9057
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 1, 2020
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedOctober 21, 2020
✔ NPI 1144844572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 209021350
444 N PLEASANT AVE, Centralia, IL 62801

Other Identifiers 1

Other209021350IL · State Board Of Nursing

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Amber Lynn Wennerstrom Dnp, Pmhnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698199867
PECOS Enrollment IDI20200721001970
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Amber Wennerstrom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
400 N PLEASANT AVE
Centralia, IL 62801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: St Marys Hospital Centralia Illinois
  • 392 clinicians in this Medicare group
Internal Medicine
4218 LINCOLNSHIRE DR
Mount Vernon, IL 62864
  • Reassigned Medicare billing, Illinois enrollment
  • 296 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
316 services102 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
49 services32 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140034
Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County
Emergency services

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140046
Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
444 N PLEASANT AVE
CENTRALIA, IL 62801
Counselor (Professional)
444 N PLEASANT AVE
CENTRALIA, IL 62801
Nurse Practitioner (Psychiatric/Mental Health)
444 N PLEASANT AVE
CENTRALIA, IL 62801
Counselor (Professional)
444 N PLEASANT AVE
CENTRALIA, IL 62801
Clinical Nurse Specialist
444 N PLEASANT AVE
CENTRALIA, IL 62801
Psychiatry & Neurology (Psychiatry)
444 N PLEASANT AVE
CENTRALIA, IL 62801
Counselor (Professional)
444 N PLEASANT AVE
CENTRALIA, IL 62801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amber Wennerstrom's NPI number?

The NPI number for Amber Wennerstrom is 1144844572. It was assigned to this individual provider in the NPPES registry on June 1, 2020.

Where is Amber Wennerstrom located?

Amber Wennerstrom practices at 444 N Pleasant Ave, Centralia, IL 62801. The listed phone number is (618) 436-5665.

What is Amber Wennerstrom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Amber Wennerstrom enrolled in Medicare?

Yes. Amber Wennerstrom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Amber Wennerstrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amber Wennerstrom reassigns Medicare benefits to 2 organizations: St. Mary's Hospital, Centralia, Illinois (Centralia, IL) and Physician Services Corporation Of Southern Illinois Inc. (Mount Vernon, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amber Wennerstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amber Wennerstrom accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Amber Wennerstrom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Amber Wennerstrom affiliated with any hospitals?

According to CMS data, Amber Wennerstrom is affiliated with Ssm Health St Mary's Hospital -Centralia and Good Samaritan Regional Hlth Center.

When was this NPI record last updated?

The NPPES record for Amber Wennerstrom was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.