Carissa Jo Kelm, ARNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

H174874 Issued in IA

Practice address

312 9TH St. SW
Waverly, IA 50677

Phone

(319) 352-4120

NPI assigned

Jun 26, 2023

Last updated

Jun 26, 2023By 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 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Waverly Health CenterGroup PAC ID 8820996762, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Waverly Health Center Hospital, Waverly, IA, CCN 161339

Medicare enrollment (NPD)

Enrolled

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.

• Waverly Health Center

  • Family Medicine Physician
  • Waverly, IA
  • NPI 1598959371
  Medicare reassignment Care Compare group NPD
• Waverly Health Center

  dba Janesville Clinic

  • Rural Health Clinic/Center
  • Janesville, IA
  • NPI 1184094534
  NPD
• Waverly Health Center

  • Critical Access Hospital
  • Waverly, IA
  • NPI 1447299953
  NPD (past)

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

• Waverly Health Center

  • Critical Access Hospital
  • Waverly, IA
  • NPI 1447299953
  Care Compare affiliation

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1073299053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 9TH STREET SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "50677",
            "telephone_number": "319-352-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 9TH ST. SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "50677",
            "telephone_number": "319-352-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELM",
        "first_name": "CARISSA",
        "middle_name": "JO",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IA",
            "license": "H174874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Mae Kane
• Michael Ralph Kaus, PT
• Allison Beth Keeler
• Keller Chiropractic
• Valarie Jean Keller, D.C.
• Barbara Ann Kenaga, LPT
• Wendy Kay Kepford, LISW
• Junyoung Kim
• Kersten D King, SLP
• Gena Klingaman, SLP

• Acute Care Nurse Practitioner in Waverly, IA
• Providers in Waverly, IA by specialty
• Acute Care Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.

Verify at the official NPI Registry.