Active NPI
Maria Ruth Hoegh, APRN
- Family Nurse Practitioner
- Provo, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 12359468-4405
- Practice address
- 1055 N 500 W BLDG a
Provo, UT 84604-3305 - Phone
- (801) 812-5033
- NPI assigned
- Aug 3, 2021
- Last updated
- Dec 20, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 12359468-4405 | UT | |
| Family Nurse Practitioner | 363LF0000X | A164279 | IA | |
| Family Nurse Practitioner | 363LF0000X | 12359468-4405 | UT | Primary |
Addresses
Primary practice location
1055 N 500 W BLDG a
Provo, UT 84604-3305
Mailing address
1055 N 500 W BLDG a
Provo, UT 84604-3305
Phone (801) 812-5033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A164279 | IA | MD | Family Nurse Practitioner |
| 12359468-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cass County Memorial Hospital | Current | Accepting new patients | |
| Cass County Memorial Hospital | Current | Accepting new patients | |
| Revere Health PC | Current | Accepting new patients | |
| Revere Health PC | Current | Accepting new patients | |
| Cass County Memorial Hospital | Nurse Practitioner | Current | Accepting new patients |
Locations
1501 E 10th St
Atlantic, IA 50022
Phone (712) 243-2850
1501 E 10th St
Ste 100
Atlantic, IA 50022
Phone (712) 243-2850
1501 E 10th St
Ste 120
Atlantic, IA 50022
Phone (712) 243-2850
603 Rosary Dr
Corning, IA 50841
Phone (641) 322-3121
609 SE Kent St
Greenfield, IA 50849
Phone (641) 743-2123
1400 Senate Ave
Ste 105
Red Oak, IA 51566
Phone (712) 623-7250
2301 Eastern Ave
Red Oak, IA 51566
Phone (712) 623-7270
1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000
1055 N 500 W
Bldg A
Provo, UT 84604
Phone (801) 418-0800
1055 N 500 W
Ste 212
Provo, UT 84604
Phone (801) 374-2362
Organizations & group practices 5
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.
-
- Critical Access Hospital
- Atlantic, IA
- NPI 1093760944
-
- Critical Access Hospital
- Atlantic, IA
- NPI 1861597122
Nurse Practitioner
-
dba Cass Health Pharmacy
- Community/Retail Pharmacy
- Atlantic, IA
- NPI 1023755097
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Atlantic, IA
- NPI 1093760944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639958400000",
"number": "1053085050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 N 500 W BLDG A",
"city": "PROVO",
"state": "UT",
"postal_code": "846043305",
"telephone_number": "801-812-5033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 N 500 W BLDG A",
"city": "PROVO",
"state": "UT",
"postal_code": "846043305",
"telephone_number": "801-812-5033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOEGH",
"first_name": "MARIA",
"middle_name": "RUTH",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-03",
"last_updated": "2021-12-20",
"certification_date": "2021-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "UT",
"license": "12359468-4405",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A164279",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "12359468-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.