INNOVATIVE WELLNESS
NPI 1477420073
Nurse Practitioner - Family in Waukee, IA

Q: What is Innovative Wellness's NPI number?

The NPI number for Innovative Wellness is 1477420073. It was assigned to this organization in the NPPES registry on October 20, 2025.

Q: What is Innovative Wellness's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since October 20, 2025CLIA 16D2344948 · Waiver

14225 UNIVERSITY AVE STE 225, WAUKEE, IA 50263(515) 355-3200(515) 598-7626 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Innovative Wellness NPPES

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

INNOVATIVE WELLNESS (NPI 1477420073) is a healthcare organization registered as a family in Waukee, Iowa and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through June 1, 2028 and lists Wendy White, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1477420073

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameINNOVATIVE WELLNESS

Location Address14225 UNIVERSITY AVE STE 225Waukee, IA 50263-8248

Mailing Address14225 University Ave Ste 225Waukee, IA 50263-8248 · (515) 355-3200 · Fax (515) 598-7626

Phone(515) 355-3200

Fax(515) 598-7626

Organization SubpartNo

Authorized OfficialWendy WhiteCredentialing Specialist · (304) 688-7027

Enumeration DateOctober 20, 2025

NPPES CertifiedOctober 20, 2025

✔ NPI 1477420073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

14225 UNIVERSITY AVE STE 225, Waukee, IA 50263

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D2344948

Innovative Wellness Center · Waukee, IA

Active · expires Jun 1, 2028

CLIA Number16D2344948

Laboratory TypeArnp

Certificate Effective DateJune 2, 2026

Certificate Expiration DateJune 1, 2028

Laboratory DirectorAlicia M. Grassley

Laboratory Phone(515) 355-3200

Laboratory LocationInnovative Wellness Center14225 SE University Ave Ste 200 & 206, Waukee, IA 50263

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Innovative Wellness's NPI number?

The NPI number for Innovative Wellness is 1477420073. It was assigned to this organization in the NPPES registry on October 20, 2025.

Where is Innovative Wellness located?

Innovative Wellness is located at 14225 University Ave Ste 225, Waukee, IA 50263. The listed phone number is (515) 355-3200.

What is Innovative Wellness's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Innovative Wellness hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2344948) is associated with this NPI, valid through June 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Innovative Wellness was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.