Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: What is Mirabel Wenja's specialty?

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

Q: 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 21 days 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 January 21, 2026PECOS Enrolled

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: August 16, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mirabel Wenja is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 enrollment system.

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 21 days 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.