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

Q: 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.

Q: 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.

Q: 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.

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: August 16, 2026.

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

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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

Phone(618) 436-5665

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

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Other Identifiers 1

Other209021350IL · State Board Of Nursing

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

BETH ANN DAVISON CNM

Nurse Practitioner (Psychiatric/Mental Health)