Individual provider Active NPI

Dorothy Jean Anderson, ARNP

  • Nurse Practitioner
  • Clinton, IA
National Provider Identifier
1013160761
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A-080599 Issued in IA
Practice address
221 Main Ave
Clinton, IA 52732-2241
Phone
(563) 242-7522
Fax
(563) 242-7534
NPI assigned
Oct 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A-080599 IA Primary

Addresses

Primary practice location

221 Main Ave
Clinton, IA 52732-2241

Mailing address

221 Main Ave
Clinton, IA 52732-2241
Phone (563) 242-7522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090206000154 IA Practitioner - Nurse Practitioner 3870657869 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A-080599IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Clinton, Iowa P.L.C. Current Accepting new patients
Mercy Specialty Clinic CurrentSince Jun 1, 2018 Accepting new patients
Mercy Specialty Clinic CurrentSince Jun 1, 2018 Accepting new patients

Locations

221 Main Ave
Clinton, IA 52732
Phone (319) 242-7522

915 13th Ave N
Clinton, IA 52732
Phone (319) 243-2511

621 S Illinois Ave
Ste 103
Mason City, IA 50401

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1013160761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 MAIN AVE",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527322241",
            "telephone_number": "563-242-7522",
            "fax_number": "563-242-7534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 MAIN AVE",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527322241",
            "telephone_number": "563-242-7522",
            "fax_number": "563-242-7534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DOROTHY",
        "middle_name": "JEAN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A-080599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IA

Sources for this page

Verify at the official NPI Registry.