Active NPI
Autumn Keiser
- Family Medicine Physician
- Atlantic, IA
National Provider Identifier
1043694847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R-10410
- Practice address
- 1501 E 10TH St
Atlantic, IA 50022-1936 - Phone
- (712) 243-3250
- Fax
- (712) 243-7587
- NPI assigned
- Jul 13, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R-10410 | IA | Primary |
Addresses
Primary practice location
1501 E 10TH St
Atlantic, IA 50022-1936
Mailing address
1501 E 10TH St
Atlantic, IA 50022-1936
Phone (712) 250-8047
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160728001316 | IA | Practitioner - Emergency Medicine | 2860708096 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Nebraska College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cass County Memorial Hospital
Practice addresses (Care Compare)
1501 E 10TH St
Atlantic, IA 50022-1936
Phone (712) 243-3250
Hospital & facility affiliations
- Carroll Area Nursing Services
- Hospice of the Midwest, LLC
- Cass County Memorial Hospital
- Heritage House
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.8 of 100
- Quality
- 85.99
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 10
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cass County Memorial Hospital | Current | Accepting new patients | |
| Cass County Memorial Hospital | Current | Accepting new patients | |
| Northwest Iowa Hospital Corporation | Current | Accepting new patients | |
| Cass County Memorial Hospital | Current | Accepting new patients |
Locations
1501 E 10th St
Atlantic, IA 50022
Phone (712) 243-2850
2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000
801 5th St
Sioux City, IA 51101
Phone (712) 279-2010
Interoperability endpoints
- akeiser141701@uihcdirect.org
Organizations & group practices 10
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Sioux City, IA
- NPI 1215962550
IA
-
- Community/Retail Pharmacy
- Atlantic, IA
- NPI 1023755097
-
- Optometrist
- Atlantic, IA
- NPI 1043747280
-
- Medicare Defined Swing Bed Hospital Unit
- Atlantic, IA
- NPI 1134143696
-
- Family Medicine Physician
- Atlantic, IA
- NPI 1316148307
-
- Rural Health Clinic/Center
- Massena, IA
- NPI 1447451331
-
- Rural Health Clinic/Center
- Atlantic, IA
- NPI 1649471699
-
- Rural Health Clinic/Center
- Atlantic, IA
- NPI 1699976696
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Carroll, IA
- NPI 1336131135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586304000000",
"number": "1043694847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 E 10TH ST",
"city": "ATLANTIC",
"state": "IA",
"postal_code": "500221936",
"telephone_number": "712-250-8047",
"fax_number": "712-243-7587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 E 10TH ST",
"city": "ATLANTIC",
"state": "IA",
"postal_code": "500221936",
"telephone_number": "712-243-3250",
"fax_number": "712-243-7587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEISER",
"first_name": "AUTUMN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-13",
"last_updated": "2020-04-08",
"certification_date": "2020-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "R-10410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlantic, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.