Doctor profile · Federal record

Dr. Mary Ann Wietbrock, RN MSN ACNS-BC

Clinical Nurse Specialist (CMS: Certified Clinical Nurse Specialist (CNS)) · Cumberland, IN

  • NPI 1336551175
  • Accepts Medicare
  • 18 yrs in practice
  • Female
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
102 Granby Dr
Cumberland, IN 462294203
(317) 410-9140
fax (317) 861-1556
Mailing address
4108 W 400 S
New Palestine, IN 461639612

Credentials & registration

NPPES · NUCC
NPI registered
May 2014 — 12 yrs on file
Profile last updated
October 17, 2024
Year of graduation
2008 — 18 yrs since
Specialty taxonomy
364S00000X — NUCC code
State license (1)
Indiana #28088637A

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1336551175. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
243
Distinct HCPCS
4
Medicare allowed
$19,318
HCPCS Description Services Patients Avg allowed
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 67 11 $20
99213 Established patient office or other outpatient visit, 20-29 minutes 65 14 $71
99214 Established patient office or other outpatient visit, 30-39 minutes 59 14 $101
99215 Established patient office or other outpatient visit, 40-54 minutes 52 11 $142

In context: peer comparison

Among 1 peers in this city , average services per provider: 60. This provider delivers 4.1× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Mary Ann Wietbrock's medical specialty?
Dr. Mary Ann Wietbrock practices Clinical Nurse Specialist in Cumberland, IN.
Where does Dr. Mary Ann Wietbrock practice?
Dr. Mary Ann Wietbrock practices at 102 Granby Dr, Cumberland, IN 462294203. Office phone: 3174109140.
What is Dr. Mary Ann Wietbrock's NPI?
Dr. Mary Ann Wietbrock's National Provider Identifier (NPI) is 1336551175, issued by NPPES.
Does Dr. Mary Ann Wietbrock accept Medicare assignment?
Yes. Dr. Mary Ann Wietbrock accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mary Ann Wietbrock commonly perform?
Top Medicare-reported procedures in 2023: Face-to-face behavioral counseling for obesity (HCPCS G0447); Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.