Debra Oldaker-Tedrow, FAMILY NURSE PRACTIT

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A098850 Issued in IA

Practice address

2255 John F Kennedy Rd
Dubuque, IA 52002-2846

Phone

(319) 384-8822

NPI assigned

May 12, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IA, WI2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Health Center IncGroup PAC ID 3072427772, 110 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southwest Health Center Hospital, Platteville, WI, CCN 521354

Merit-based Incentive Payment System (MIPS)

Final score

80.26 of 100Reported as group

Quality

92.24

Promoting interoperability

100

Improvement activities

40

Cost

41.97

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: doldakertedrow452366@direct-ehr-ssmhc.com

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.

• Southwest Health Center, Inc

  • Critical Access Hospital
  • Platteville, WI
  • NPI 1831279793
  Medicare reassignment Care Compare group NPD
• The Finley Hospital

  dba UnityPoint Clinic

  • Family Medicine Physician
  • Dubuque, IA
  • NPI 1073560462
  Medicare reassignment NPD
• The Finley Hospital

  dba UnityPoint Health - Provider Services

  • Emergency Medicine Physician
  • Dubuque, IA
  • NPI 1134176308

  Family

  NPD
• Southwest Health Center, Inc.

  dba Southwest Health Cuba City Clinic

  • Rural Health Clinic/Center
  • Cuba City, WI
  • NPI 1316324429
  NPD
• Southwest Health Center, Inc.

  dba Southwest Health Cuba City Clinic

  • Family Medicine Physician
  • Cuba City, WI
  • NPI 1275886590
  NPD (past)

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

• Southwest Health Center, Inc

  • Critical Access Hospital
  • Platteville, WI
  • NPI 1831279793
  Care Compare affiliation

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1033597844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 JOHN F KENNEDY RD",
            "address_2": "SUITE 21",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 JOHN F KENNEDY RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022846",
            "telephone_number": "319-384-8822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 Eastside Rd",
            "address_purpose": "LOCATION",
            "city": "Platteville",
            "state": "WI",
            "postal_code": "538189800",
            "country_code": "US",
            "telephone_number": "608-348-2331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLDAKER-TEDROW",
        "first_name": "DEBRA",
        "credential": "FAMILY NURSE PRACTIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-12",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209012800",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "13973-33",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A098850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexia Murray Oetken, D.D.S.
• Diane Marie Oglesby, ARNP
• Jill Oglesby
• Anna Olberding
• Julie A Olberding, A.R.N.P.
• Jaime Danielle Oler-Harrop, LMSW
• Hannah Oliver
• Ollendick Counseling LLC
• Lori L Ollendick, LMHC
• Daniel L Olson, PH.D.

• Family Nurse Practitioner in Dubuque, IA
• Providers in Dubuque, 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 Jun 19, 2023; 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.

Verify at the official NPI Registry.