Individual provider Active NPI

Jeffrey Guse

  • Family Nurse Practitioner
  • Waterloo, IA
National Provider Identifier
1063827798
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A131955 Issued in IA
Practice address
1731 W Ridgeway Ave
Suite 100
Waterloo, IA 50701-4595
Phone
(319) 833-6200
NPI assigned
Jun 20, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A131955 IA Primary

Addresses

Primary practice location

1731 W Ridgeway Ave
Suite 100
Waterloo, IA 50701-4595

Mailing address

4222 Carlton Dr
Cedar Falls, IA 50613-7541
Phone (515) 240-3009

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
I20140814000381 IA Practitioner - Nurse Practitioner 0941427066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

236 National Dr
Waterloo, IA 50701-4263
Phone (319) 232-0135

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Aug 5, 2014 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

1731 W Ridgeway Ave
Ste 100
Waterloo, IA 50701
Phone (319) 833-5888

236 National Dr
Waterloo, IA 50701
Phone (319) 232-0135

2140 Logan Ave
Ste A
Waterloo, IA 50703
Phone (319) 226-8430

Interoperability endpoints

  • Direct secure messaging: jguse208992@direct.unitypoint.org

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403222400000",
    "number": "1063827798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 CARLTON DR",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506137541",
            "telephone_number": "515-240-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 W RIDGEWAY AVE",
            "address_2": "SUITE 100",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014595",
            "telephone_number": "319-833-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSE",
        "first_name": "JEFFREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A131955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.