Individual provider Active NPI

Ross Van Allen

  • Psychiatric/Mental Health Nurse Practitioner
  • Iowa City, IA
National Provider Identifier
1023727567
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G171974 Issued in IA
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

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251216004819 CO Practitioner - Nurse Practitioner 0840657763 Reassigns benefits to 1 organization

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
Chriesl Infusion Centers LLCGroup PAC ID 4183048754, 14 clinicians

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

LicenseStateTypeSpecialty
G171974IAMDPsychiatric/Mental Health Nurse Practitioner

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21564/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.