Active NPI
Ross Van Allen
- Psychiatric/Mental Health Nurse Practitioner
- Iowa City, IA
National Provider Identifier
1023727567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- G171974
- Practice address
- 1700 S 1St Ave Ste 25a
Iowa City, IA 52240-6036 - Phone
- (319) 849-8114
- NPI assigned
- Nov 22, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | G171974 | IA | Primary |
Addresses
Primary practice location
1700 S 1St Ave Ste 25a
Iowa City, IA 52240-6036
Mailing address
1700 S 1St Ave Ste 25a
Iowa City, IA 52240-6036
Phone (319) 849-8114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1444 S Potomac St
Suite 220
Aurora, CO 80012-4509
Phone (720) 400-7025
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G171974 | IA | MD | Psychiatric/Mental Health Nurse Practitioner |
Interoperability endpoints
- https://api.platform.athenahealth.com/21564/brand/1/csg/1/fhir/r4
- ross.van.allen.1@21564.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Behavioral Neurology & Neuropsychiatry Physician
- Aurora, CO
- NPI 1669098778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669075200000",
"number": "1023727567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 S 1ST AVE STE 25A",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522406036",
"telephone_number": "319-849-8114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 S 1ST AVE STE 25A",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522406036",
"telephone_number": "319-849-8114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN ALLEN",
"first_name": "ROSS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-22",
"last_updated": "2022-11-22",
"certification_date": "2022-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IA",
"license": "G171974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.