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MIRABEL WENJA
NPI 1407715741
Nurse Practitioner - Adult Health in Dacula, GA

Active since January 21, 2026PECOS EnrolledAccepts Medicare Assignment
3134 GROVE VIEW CT, DACULA, GA 30019(602) 688-3778 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 30, 2026, Jan 21, 2026 (2 updates tracked since 2026).

About Mirabel Wenja NPPES

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

MIRABEL WENJA (NPI 1407715741) is an individual adult health provider in Dacula, Georgia, licensed in Georgia (APRN-NP332774) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1407715741
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMIRABEL WENJA
Location Address3134 GROVE VIEW CTDacula, GA 30019-6895
Mailing Address3134 Grove View CtDacula, GA 30019-6895
Phone(602) 688-3778
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 21, 2026
Last NPPES UpdateJuly 30, 20262 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1407715741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in GA · APRN-NP332774
3134 GROVE VIEW CT, Dacula, GA 30019
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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

Mirabel Wenja 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 ID244702066
PECOS Enrollment IDI20260612001344
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 Reassignment

Medicare enrollment records show Mirabel Wenja reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Capstone Hospice, LLC
19 mi
Hospice Care, Community Based
5550 PEACHTREE PKWY, SUITE 150
Peachtree Corners, GA 30092
  • Reassigned Medicare billing, Georgia enrollment
  • 11 clinicians in this Medicare group
NPI 1598134975 (770) 558-6202

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 30019 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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 Mirabel Wenja's NPI number?

The NPI number for Mirabel Wenja is 1407715741. It was assigned to this individual provider in the NPPES registry on January 21, 2026.

Where is Mirabel Wenja located?

Mirabel Wenja practices at 3134 Grove View Ct, Dacula, GA 30019. The listed phone number is (602) 688-3778.

What is Mirabel Wenja's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Mirabel Wenja enrolled in Medicare?

Yes. Mirabel Wenja 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 organization bills Medicare for Mirabel Wenja's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mirabel Wenja reassigns Medicare benefits to Capstone Hospice, LLC (Peachtree Corners, GA). The 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 Mirabel Wenja's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mirabel Wenja was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.