Raydeen Elizabeth Derscheid, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A079797 Issued in IA

Practice address

120 S Taylor St
Mount Ayr, IA 50854-1829

Phone

(641) 782-2131

Fax

(641) 782-6425

NPI assigned

Nov 30, 2007

Last updated

Jan 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rderscheid583473@direct.unitypoint.org

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

• Greater Regional Medical Center

  • Critical Access Hospital
  • Creston, IA
  • NPI 1902805062
  Medicare reassignment NPD
• Greater Regional Medical Center

  • Rural Health Clinic/Center
  • Greenfield, IA
  • NPI 1194406223
  NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Crain Medical Clinic

  • Family Medicine Physician
  • Mount Ayr, IA
  • NPI 1467638072
  NPD (past)
• Decatur Medical Services, PC

  • Family Medicine Physician
  • Leon, IA
  • NPI 1346219052
  NPD (past)

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1013199009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W TOWNLINE ST",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508011054",
            "telephone_number": "641-782-7091",
            "fax_number": "641-782-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S TAYLOR ST",
            "city": "MOUNT AYR",
            "state": "IA",
            "postal_code": "508541829",
            "telephone_number": "641-782-2131",
            "fax_number": "641-782-6425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1610 W Townline St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Creston",
            "state": "IA",
            "postal_code": "508011064",
            "country_code": "US",
            "telephone_number": "641-782-2131",
            "fax_number": "641-782-6425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DERSCHEID",
        "first_name": "RAYDEEN",
        "middle_name": "ELIZABETH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-30",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A079797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE NURSING BOARD",
            "identifier": "A079797",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Marie Coleman, ARNP
• County of Ringgold (Ringgold County Public Health)
• County of Ringgold Dba Ringgold County Public Health
• Crain Medical Clinic
• Dwain G Crain, DO
• Dr. Robert H Sharp, PC
• Jill L Ehlen, PTA
• Eye Care Associates of Co, LLC (Family Vision Center - Mount Ayr)
• Haroon Ferhut, M.D.
• Natasha Nicole Gourley, ATC, LAT, EMT-PM

• Family Nurse Practitioner in Mount Ayr, IA
• Providers in Mount Ayr, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.