Individual provider Active NPI

Mariah Ann Fury-Swisher, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • La Porte City, IA
National Provider Identifier
1053836239
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G137147 Issued in IA
Practice address
213 Main St
La Porte City, IA 50651-1235
Phone
(319) 505-5602
Fax
(319) 575-6100
NPI assigned
Aug 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 137147 IA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G137147 IA Primary

Addresses

Primary practice location

213 Main St
La Porte City, IA 50651-1235

Mailing address

213 Main St
La Porte City, IA 50651-1235
Phone (319) 505-5602

Other names 1

  • Mariah A Fury Other name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180131000328 IA Practitioner - Nurse Practitioner 0840550497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Minds PLCGroup PAC ID 5597153015, 2 clinicians

Practice addresses (Care Compare)

1810 W 8TH St
Suite B
Cedar Falls, IA 50613-2071
Phone (319) 505-5602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
137147IAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Minds PLC CurrentSince Aug 15, 2021 Accepting new patients

Locations

1810 W 8th St
Ste B
Cedar Falls, IA 50613
Phone (319) 505-5602

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": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1053836239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 MAIN ST",
            "city": "LA PORTE CITY",
            "state": "IA",
            "postal_code": "506511235",
            "telephone_number": "319-505-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 MAIN ST",
            "city": "LA PORTE CITY",
            "state": "IA",
            "postal_code": "506511235",
            "telephone_number": "319-505-5602",
            "fax_number": "319-575-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURY-SWISHER",
        "first_name": "MARIAH",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "137147",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G137147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIAH",
            "last_name": "FURY",
            "middle_name": "A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in La Porte City, IA

Sources for this page

Verify at the official NPI Registry.