Individual provider Active NPI

Katelin Judith Hartmann, FNP-C

  • Family Nurse Practitioner
  • Webster City, IA
National Provider Identifier
1023523412
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A136840 Issued in IA
Practice address
903 Willson Ave
Webster City, IA 50595-2214
Phone
(515) 524-6060
Fax
(515) 524-6061
NPI assigned
Dec 6, 2017
Last updated
Oct 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A136840 IA Primary
Dermatology Physician 207N00000X A136840 IA

Addresses

Primary practice location

903 Willson Ave
Webster City, IA 50595-2214

Mailing address

903 Willson Ave
Webster City, IA 50595-2214
Phone (515) 524-6060

Other practice location 1

2350 Hospital Dr
Webster City, IA 50595-6600
Phone (515) 832-7800

Other practice location 2

2913 5th Ave S
Fort Dodge, IA 50501
Phone (515) 955-4440

Other names 1

  • Katelin Judith Pruismann Former name

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
I20180810002440 IA Practitioner - Nurse Practitioner 8921356627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

903 Willson Ave
Webster City, IA 50595-2214
Phone (515) 524-6060

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A136840IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Dermatology PLLC CurrentSince Aug 10, 2022 Accepting new patients

Locations

903 Willson Ave
Webster City, IA 50595
Phone (515) 524-6060

Interoperability endpoints

  • Direct secure messaging: khartmann@infinityderm.emadirect.md

Organizations & group practices 1

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 2

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": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1023523412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 WILLSON AVE",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505952214",
            "telephone_number": "515-524-6060",
            "fax_number": "515-524-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 WILLSON AVE",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505952214",
            "telephone_number": "515-524-6060",
            "fax_number": "515-524-6061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2350 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Webster City",
            "state": "IA",
            "postal_code": "505956600",
            "country_code": "US",
            "telephone_number": "515-832-7800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2913 5th Ave S",
            "address_purpose": "LOCATION",
            "city": "Fort Dodge",
            "state": "IA",
            "postal_code": "50501",
            "country_code": "US",
            "telephone_number": "515-955-4440",
            "fax_number": "515-955-4449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTMANN",
        "first_name": "KATELIN",
        "middle_name": "JUDITH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-06",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A136840",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IA",
            "license": "A136840",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELIN",
            "last_name": "PRUISMANN",
            "middle_name": "JUDITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Webster City, IA

Sources for this page

Verify at the official NPI Registry.