Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MICHAELA HENNEBERRY DNP, ARNP, FNP-C
NPI 1639003809
Nurse Practitioner - Family in Cedar Rapids, IA

Q: What is Michaela Henneberry's NPI number?

The NPI number for Michaela Henneberry is 1639003809. It was assigned to this individual provider in the NPPES registry on June 11, 2026.

Q: What is Michaela Henneberry's specialty?

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

Active since June 11, 2026PECOS Enrolled

1005 BLAIRS FERRY RD NE STE 30, CEDAR RAPIDS, IA 52402(319) 289-7779(319) 320-4644 Get Directions Write a Review

NPPES record added: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michaela Henneberry Dnp, Arnp, Fnp-c NPPES

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

MICHAELA HENNEBERRY DNP, ARNP, FNP-C (NPI 1639003809) is an individual family provider in Cedar Rapids, Iowa, licensed in Iowa (A189940) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639003809

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMICHAELA HENNEBERRYCredential: DNP, ARNP, FNP-C

Location Address1005 BLAIRS FERRY RD NE STE 30Cedar Rapids, IA 52402-1292

Mailing Address6800 Lake Dr Ste 285West Des Moines, IA 50266-2544 · (515) 226-3116 · Fax (515) 223-9341

Phone(319) 289-7779

Fax(319) 320-4644

Sole ProprietorNo

Enumeration DateJune 11, 2026

NPPES CertifiedJune 11, 2026

✔ NPI 1639003809 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

License✔ Licensed in IA · A189940

1005 BLAIRS FERRY RD NE STE 30, Cedar Rapids, IA 52402

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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)

Michaela Henneberry Dnp, Arnp, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 52402 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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 2

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

IOWA DERMATOLOGY CLINIC PLC

Dermatology

1005 BLAIRS FERRY RD NE STE 30
CEDAR RAPIDS, IA 52402

Linn County (319) 289-7779

JESSICA LEEANNE WOLFE ARNP

Nurse Practitioner (Family)

1005 BLAIRS FERRY RD NE STE 30
CEDAR RAPIDS, IA 52402

Linn County (515) 226-3116

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 Michaela Henneberry's NPI number?

The NPI number for Michaela Henneberry is 1639003809. It was assigned to this individual provider in the NPPES registry on June 11, 2026.

Where is Michaela Henneberry located?

Michaela Henneberry practices at 1005 Blairs Ferry Rd NE Ste 30, Cedar Rapids, IA 52402. The listed phone number is (319) 289-7779.

What is Michaela Henneberry's specialty?

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

Is Michaela Henneberry enrolled in Medicare?

Yes. Michaela Henneberry is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michaela Henneberry was last updated on June 11, 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.