Individual provider Active NPI

Ryan Michael Winder, ARNP, FNP-C

  • Family Nurse Practitioner
  • Mount Vernon, IA
National Provider Identifier
1093320392
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A160309 Issued in IA
Practice address
615 A Ave SE
Mount Vernon, IA 52314-1532
Phone
(319) 721-5142
NPI assigned
Sep 14, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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 A160309 IA Primary

Addresses

Primary practice location

615 A Ave SE
Mount Vernon, IA 52314-1532

Mailing address

615 A Ave SE
Mount Vernon, IA 52314-1532
Phone (319) 721-5142

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
I20201117003352 IA Practitioner - Nurse Practitioner 1052722378 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Rehabilitation Associates LLCGroup PAC ID 2961443072, 275 clinicians
Mercy Care Management, IncGroup PAC ID 2466343363, 35 clinicians

Practice addresses (Care Compare)

1130 S Scott Blvd
Suite 1
Iowa City, IA 52240-2909
Phone (319) 354-2429

2815 Edgewood Rd SW
Mercycare South
Cedar Rapids, IA 52404-3258
Phone (319) 396-9097

5264 Council St NE
100 Mercycare North
Cedar Rapids, IA 52402-2477
Phone (319) 221-8444

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A160309IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Physician Associates, Inc CurrentSince Nov 1, 2020 Accepting new patients
Mercy Care Management, Inc Family CurrentSince Nov 1, 2020 Accepting new patients
Mercy Care Management, Inc Family Current Accepting new patients
Mercy Physician Associates Inc CurrentSince Nov 1, 2020 Accepting new patients
Mercy Physician Associates, Inc Current Accepting new patients
Mercy Physician Associates, Inc Past Accepting new patients

Locations

2815 Edgewood Rd SW
Cedar Rapids, IA 52404
Phone (319) 221-8695

5264 Council St NE
Ste 100
Cedar Rapids, IA 52402
Phone (319) 221-8444

1790 Blairs Ferry Rd
Hiawatha, IA 52233
Phone (319) 378-8362

300 W May St
Marengo, IA 52301
Phone (319) 462-8011

1765 Lininger Ln
Ste 1
North Liberty, IA 52317
Phone (319) 665-3053

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1093320392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 A AVE SE",
            "city": "MOUNT VERNON",
            "state": "IA",
            "postal_code": "523141532",
            "telephone_number": "319-721-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 A AVE SE",
            "city": "MOUNT VERNON",
            "state": "IA",
            "postal_code": "523141532",
            "telephone_number": "319-721-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDER",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "credential": "ARNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A160309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, IA

Sources for this page

Verify at the official NPI Registry.