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

Active since June 11, 2026PECOS EnrolledAccepts Medicare Assignment
1005 BLAIRS FERRY RD NE STE 30, CEDAR RAPIDS, IA 52402(319) 289-7779(319) 320-4644 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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 and is a graduate of Other (2025).

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
Fax(319) 320-4644
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
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

Accepted Insurance

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

Michaela Henneberry Dnp, Arnp, Fnp-c 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 ID4789149949
PECOS Enrollment IDI20260720000378
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 Michaela Henneberry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dermatology
1005 BLAIRS FERRY RD NE STE 30
Cedar Rapids, IA 52402
  • Reassigned Medicare billing, Iowa enrollment
  • 23 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 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.

Dermatology
1005 BLAIRS FERRY RD NE STE 30
CEDAR RAPIDS, IA 52402
Nurse Practitioner (Family)
1005 BLAIRS FERRY RD NE STE 30
CEDAR RAPIDS, IA 52402

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Michaela Henneberry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michaela Henneberry reassigns Medicare benefits to Iowa Dermatology Clinic Plc (Cedar Rapids, IA). 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 Michaela Henneberry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michaela Henneberry accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Insurance Company and 1 other insurer list Michaela Henneberry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 4 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.