Individual provider Active NPI

Mary Ann Gengler, FNP

  • Family Nurse Practitioner
  • Sioux City, IA
National Provider Identifier
1003271636
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
076492 Issued in IA
Practice address
3500 Singing Hills Blvd Ste 200
Sioux City, IA 51106-5127
Phone
(605) 217-7246
Fax
(605) 217-4878
NPI assigned
Dec 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 076492 IA Primary

Addresses

Primary practice location

3500 Singing Hills Blvd Ste 200
Sioux City, IA 51106-5127

Mailing address

3500 Singing Hills Blvd
Suite 200
Sioux City, IA 51106-5127
Phone (605) 217-7246

Other practice location 1

46786 120th St
Remsen, IA 51050-8834
Phone (605) 595-7735

Other names 1

  • Mary Ann Gengler Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
076492IAMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1451088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1003271636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 SINGING HILLS BLVD",
            "address_2": "SUITE 200",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511065127",
            "telephone_number": "605-217-7246",
            "fax_number": "605-217-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 SINGING HILLS BLVD STE 200",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511065127",
            "telephone_number": "605-217-7246",
            "fax_number": "605-217-4878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46786 120th St",
            "address_purpose": "LOCATION",
            "city": "Remsen",
            "state": "IA",
            "postal_code": "510508834",
            "country_code": "US",
            "telephone_number": "605-595-7735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENGLER",
        "first_name": "MARY",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "076492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "GENGLER",
            "middle_name": "ANN",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.