Kaye M Cleveland, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

A063458 Issued in IA

Practice address

3202 Leona Dr
Storm Lake, IA 50588-2761

Phone

(515) 408-3178

NPI assigned

Dec 14, 2005

Last updated

Dec 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kaye M Grossnickle Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Plains Area Mental Health, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Le Mars, IA
  • NPI 1356198147
  Medicare reassignment NPD
• Integrated Behavioral Health Services, PC

  dba Classroom Clinic

  • Psychiatric/Mental Health Nurse Practitioner
  • Carroll, IA
  • NPI 1558910125

  Family

  NPD
• Plains Area Mental Health, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Le Mars, IA
  • NPI 1801867734
  NPD
• Community and Family Resources

  • Substance Abuse Rehabilitation Facility
  • Fort Dodge, IA
  • NPI 1366507790
  NPD (past)
• Judith C Christensen, LLC

  • Community/Behavioral Health Agency
  • Fort Dodge, IA
  • NPI 1154511798
  NPD (past)
• Kaye M. Grossnickle, LLC

  • Family Nurse Practitioner
  • Fort Dodge, IA
  • NPI 1992905780
  NPD (past)
• State University of Iowa

  dba Student Health & Wellness

  • Student Health Clinic/Center
  • Iowa City, IA
  • NPI 1285635664
  NPD (past)
• The Richmond Center

  • Mental Health Counselor
  • Ames, IA
  • NPI 1194837286
  NPD (past)

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1063497840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N ADAMS ST",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514012344",
            "telephone_number": "712-525-0993",
            "fax_number": "712-525-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 LEONA DR",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505882761",
            "telephone_number": "515-408-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVELAND",
        "first_name": "KAYE",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A063458",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "A063458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "34971",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYE",
            "last_name": "GROSSNICKLE",
            "middle_name": "M",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shelly J Buse, ARNP
• Buyhear, Inc
• Kristin Kay Cedar, ARNP
• Kenneth Thomas Chapman, MD
• Russell Chrischilles, PTA-BA
• Kay Crabb, PT
• Randy L Crampton, DPM
• David Crippin, MD
• Craig D Crouch, O.D.
• Donovan Lee Crouch, O.D.

• Psychiatric/Mental Health Nurse Practitioner in Storm Lake, IA
• Providers in Storm Lake, IA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.