Amy Van De Wielle, in Elkhart, IN - Medicare Nurse Practitioner

Amy Van De Wielle, is a medicare enrolled "Nurse Practitioner - Family" in Elkhart, Indiana. Her current practice location is 303 S Nappanee St, Elkhart, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 296-3200.

Amy Van De Wielle is licensed to practice in Indiana (license number 71012888A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1144953902.

Contact Information

	Amy Van De Wielle,
	303 S Nappanee St, Elkhart, IN 46514-2066
	(574) 296-3200
	Not Available

Map and Direction

Provider's Profile

Full Name	Amy Van De Wielle
Gender	Female
Speciality	Nurse Practitioner - Family
Location	303 S Nappanee St, Elkhart, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144953902
Provider Enumeration Date: 07/07/2022
Last Update Date: 09/25/2025

Medicare PECOS Information:

PECOS PAC ID: 9830572841
Enrollment ID: I20221208002244

Medical Identifiers

Medical identifiers for Amy Van De Wielle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144953902	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71012888A (Indiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amy Van De Wielle allows following entities to bill medicare on her behalf.

Entity Name	Privia Medical Group Indiana, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568147809 PECOS PAC ID: 2365341674 Enrollment ID: O20040110000052

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amy Van De Wielle is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Amy Van De Wielle, Po Box 39491, Belfast, ME 04915-1248 Ph: (574) 296-3200	Amy Van De Wielle, 303 S Nappanee St, Elkhart, IN 46514-2066 Ph: (574) 296-3200

Reviews and Comments

Nurse Practitioner Nurses in Elkhart, IN

Elizabeth W Maina, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 236 Simpson Ave, Elkhart, IN 46516 Phone: 574-293-0052
Ms. Cecilia Mumbi Maina, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 236 Simpson Ave, Elkhart, IN 46516 Phone: 574-293-0052
Mr. Kenneth Francis Raderstorf Iii, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3301 County Road 6 E, Elkhart, IN 46514 Phone: 574-266-5342 Fax: 574-266-5847
Rosemary J Eash, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1627 E Bristol St, Elkhart, IN 46514 Phone: 574-262-0313 Fax: 574-262-8163
Lorraine Doris Swartzentruber, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 236 Simpson Ave, Elkhart, IN 46516 Phone: 574-293-0052
Ashley Marie Brunt, NURSE PRA Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-524-7102 Fax: 574-389-4859
Mrs. Catherine E Dos Santos, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3421 S Main St, Elkhart, IN 46517 Phone: 574-295-7178 Fax: 574-295-8822

Amy Van De Wielle, - Medicare Nurse Practitioner in Elkhart, IN