JOANNE L WENNSTROM APRN-CPNP-PC
NPI 1235645003
Nurse Practitioner - Pediatrics in Las Vegas, NV

Q: What is Joanne Wennstrom's NPI number?

The NPI number for Joanne Wennstrom is 1235645003. It was assigned to this individual provider in the NPPES registry on December 15, 2017.

Q: What is Joanne Wennstrom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Joanne Wennstrom was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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 December 15, 2017PECOS Enrolled

3201 S MARYLAND PKWY STE 608, LAS VEGAS, NV 89109(702) 457-5437(702) 464-5801 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 31, 2025, Jul 14, 2020, Dec 15, 2017 (3 updates tracked since 2017).

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About Joanne L Wennstrom Aprn-cpnp-pc NPPES

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

JOANNE L WENNSTROM APRN-CPNP-PC (NPI 1235645003) is an individual pediatrics provider in Las Vegas, Nevada, licensed in Nevada (APRN-CNP882242) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Henderson, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1235645003

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameJOANNE L WENNSTROMCredential: APRN-CPNP-PC

Location Address3201 S MARYLAND PKWY STE 608Las Vegas, NV 89109-2428

Mailing AddressPo Box 845498Los Angeles, CA 90084-2611 · (702) 457-5437 · Fax (702) 464-5801

Phone(702) 457-5437

Fax(702) 464-5801

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateDecember 15, 2017

Last NPPES UpdateDecember 31, 20253 updates tracked since enumeration

NPPES CertifiedDecember 31, 2025

✔ NPI 1235645003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in NV · APRN-CNP882242

Also ListedPediatricsTaxonomy 208000000X · License F382758-1 (NY)

3201 S MARYLAND PKWY STE 608, Las Vegas, NV 89109

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Secondary Practice Location 1

Location 1880 Seven Hills Dr Ste 100Henderson, NV 89052-4372 · Phone (702) 457-5437 · Fax (702) 464-5801

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joanne L Wennstrom Aprn-cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547520827

PECOS Enrollment IDI20260113002604

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

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

Harold Zilberman M D Chtd

Same address

Pediatrics

3201 S MARYLAND PKWY STE 608
Las Vegas, NV 89109

Reassigned Medicare billing, Nevada enrollment
10 clinicians in this Medicare group

NPI 1942364054 (702) 309-9900

Albany Medical College

2,236 mi

Allergy & Immunology

47 NEW SCOTLAND AVE
Albany, NY 12208

Reassigned Medicare billing, New York enrollment
1,640 clinicians in this Medicare group

NPI 1497921688 (518) 262-9600

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89109 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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 13

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

SORA SONG MD

Pediatrics