Individual provider Active NPI

Marcia Carol Roenfeld, ARNP

  • Family Nurse Practitioner
  • Guthrie Center, IA
National Provider Identifier
1104175173
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A-085574 Issued in IA
Practice address
710 N 12TH St
Guthrie Center, IA 50115-1544
Phone
(641) 332-3900
NPI assigned
Sep 5, 2012
Last updated
Mar 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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 A-085574 IA Primary

Addresses

Primary practice location

710 N 12TH St
Guthrie Center, IA 50115-1544

Mailing address

710 N 12TH St
Guthrie Center, IA 50115-1544
Phone (641) 332-3900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mroenfeld@gcho.securechart.com Direct

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
I20121018000384 IA Practitioner - Nurse Practitioner 4688824196 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A-085574IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Guthrie County Hospital CurrentSince Sep 26, 2012 Accepting new patients
Guthrie County Hospital CurrentSince Sep 26, 2012 Accepting new patients

Locations

710 N 12th St
Guthrie Ctr, IA 50115
Phone (641) 332-2201

103 SE 13th St
Panora, IA 50216
Phone (641) 755-4000

312 N Fremont St
Stuart, IA 50250
Phone (515) 523-2187

Interoperability endpoints

  • Direct secure messaging: mroenfeld846983@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1104175173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N 12TH ST",
            "city": "GUTHRIE CENTER",
            "state": "IA",
            "postal_code": "501151544",
            "telephone_number": "641-332-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N 12TH ST",
            "city": "GUTHRIE CENTER",
            "state": "IA",
            "postal_code": "501151544",
            "telephone_number": "641-332-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROENFELD",
        "first_name": "MARCIA",
        "middle_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A-085574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mroenfeld@gcho.securechart.com",
            "affiliation": "N",
            "endpointDescription": "Guthrie County Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "710 N 12th St",
            "city": "Guthrie Center",
            "state": "IA",
            "country_code": "US",
            "postal_code": "501151544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Guthrie Center, IA

Sources for this page

Verify at the official NPI Registry.