Individual provider Active NPI

Trudy Jean Bader, NP-C

  • Family Nurse Practitioner
  • Sioux City, IA
National Provider Identifier
1023515756
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A076509 Issued in IA
Practice address
4300 Hamilton Blvd
Sioux City, IA 51104-1139
Phone
(712) 233-4144
NPI assigned
Apr 9, 2018
Last updated
Apr 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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 A076509 IA Primary

Addresses

Primary practice location

4300 Hamilton Blvd
Sioux City, IA 51104-1139

Mailing address

728 Logan Dr
Moville, IA 51039-7530
Phone (712) 870-0575

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
I20180524002743 IA Practitioner - Nurse Practitioner 4183989023 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ida County Iowa Community HospitalGroup PAC ID 9537070826, shared by 7 NPIs, 12 clinicians

Practice addresses (Care Compare)

701 E 2ND St
Ida Grove, IA 51445-1699
Phone (712) 364-3311

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ida County Iowa Community Hospital Current Accepting new patients
Ida County Iowa Community Hospital Current Accepting new patients
Ida County Iowa Community Hospital CurrentSince Feb 5, 2020 Accepting new patients
Ida County Iowa Community Hospital Family CurrentSince Feb 5, 2020 Accepting new patients
Ida County Iowa Community Hospital Past Accepting new patients
Siouxland Regional Cancer Center Past Accepting new patients

Locations

1400 S Kiel St
Holstein, IA 51025
Phone (712) 368-3600

701 E 2nd St
Ida Grove, IA 51445
Phone (712) 364-3311

520 Main St
Ste 236
Mapleton, IA 51034

520 Main St
Ste 336
Mapleton, IA 51034

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/1aa4438a-2520-42f9-8b43-85785136e80e/
  • Direct secure messaging: tbaderarnp@hornmh.securechart.com

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1023515756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 LOGAN DR",
            "city": "MOVILLE",
            "state": "IA",
            "postal_code": "510397530",
            "telephone_number": "712-870-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 HAMILTON BLVD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511041139",
            "telephone_number": "712-233-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADER",
        "first_name": "TRUDY",
        "middle_name": "JEAN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A076509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.