Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amy Van de Wielle

Individual provider Family Nurse Practitioner · NPI 1144953902

Amy Van de Wielle is a Nurse Practitioner in Elkhart, Indiana. Qualified in 2021, 5 years ago. Practices with Privia Medical Group Indiana LLC, a 30-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
5
Licensed in
IN
In the registry since
2022

Practice location Address checks out

303 S Nappanee St
Elkhart, IN 46514-2066
Phone: (574) 296-3200
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71012888A (IN)

Record details

NPI number1144953902
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 7, 2022
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025
Mailing addressPo Box 39491, Belfast, ME 04915-1248

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Privia Medical Group Indiana Llc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Elkhart