Mary Ann Wietbrock, RNMSNACNS-BC

Individual provider Clinical Nurse Specialist · NPI 1336551175

Mary Ann Wietbrock, RNMSNACNS-BC is registered under Certified Clinical Nurse Specialist (Cns) in Cumberland, Indiana. Qualified in 2008, 18 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying: 18
Licensed in: IN
In the registry since: 2014

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Practice location Address checks out

102 Granby Dr
Cumberland, IN 46229-4203
Phone: (317) 410-9140
Fax: (317) 861-1556

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Nurse Specialist (primary)	Taxonomy 364S00000X · Licence 28088637A (IN)

Record details

NPI number	1336551175
Entity type	Individual (Type 1)
Gender	Female
Credentials	RNMSNACNS-BC
Sole proprietor	Yes
NPI enumerated	May 28, 2014
Last updated in NPPES	October 17, 2024
Certification date	October 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	CERTIFIED CLINICAL NURSE SPECIALIST (CNS)
Medical school	OTHER
Graduated	2008 (18 years in practice)
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients	19
Services billed	301 a service is one billed item, such as a visit, a test or a procedure
Average patient age	73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.