ANYA WIEDENBECK MSN, APRN, FNP-C
NPI 1417657800
Nurse Practitioner - Family in Forest Park, GA
About Anya Wiedenbeck Msn, Aprn, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANYA WIEDENBECK MSN, APRN, FNP-C (NPI 1417657800) is an individual family provider in Forest Park, Georgia, licensed in Georgia (RN260056) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Anya Wiedenbeck Msn, Aprn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Anya Wiedenbeck reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sandy Springs, GA 30328
- Reassigned Medicare billing, Georgia enrollment
- 45 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30297 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Anya Wiedenbeck's NPI number?
The NPI number for Anya Wiedenbeck is 1417657800. It was assigned to this individual provider in the NPPES registry on March 6, 2023.
Where is Anya Wiedenbeck located?
Anya Wiedenbeck practices at 455 Forest Pkwy, Forest Park, GA 30297. The listed phone number is (678) 705-0100.
What is Anya Wiedenbeck's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Anya Wiedenbeck enrolled in Medicare?
Yes. Anya Wiedenbeck is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Anya Wiedenbeck's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anya Wiedenbeck reassigns Medicare benefits to Wellbe Senior Medical Group Of Georgia, P. C. (Sandy Springs, 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 Anya Wiedenbeck'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 Anya Wiedenbeck was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Anya Wiedenbeck, MSN, APRN, FNP-C · NPI 1417657800
Family physician in Forest Park, Georgia. Individual provider, active in the CMS NPPES registry since March 6, 2023.
## Identity
- **NPI:** 1417657800 (Entity type: Individual)
- **Enumerated:** March 6, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN260056 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 455 FOREST PKWY, Forest Park, GA 30297-2126
- **Phone:** (678) 705-0100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Wellbe Senior Medical Group Of Georgia, P. C. (NPI 1205463163, Sandy Springs, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 6, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1417657800) · Data from the CMS NPPES public registry.