Fawn J Roberts, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A157630 Issued in IA

Practice address

403 1St St SE
Belmond, IA 50421-1201

Phone

(641) 444-3500

Fax

(641) 444-5688

NPI assigned

Jan 29, 2020

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

Other names 1

• Fawn J Larson 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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iowa Specialty Hospital- Clarion 94 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Iowa Specialty Hospital - Clarion Hospital, Clarion, IA, CCN 161302
• Van Diest Medical Center Hospital, Webster City, IA, CCN 161361

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: froberts84247@uihcdirect.org

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.

• Iowa Specialty Hospital- Clarion

  • Critical Access Hospital
  • Clarion, IA
  • NPI 1396760153

  IA

  Medicare reassignment Care Compare group
• Belmond Community Hospital

  • Family Medicine Physician
  • Belmond, IA
  • NPI 1821122623

  IA

  Medicare reassignment NPD
• Iowa Specialty Hospital- Clarion

  • Medicare Defined Swing Bed Hospital Unit
  • Clarion, IA
  • NPI 1417993536
  Care Compare group NPD (past)
• Iowa Specialty Hospital - Clarion

  • Community/Retail Pharmacy
  • Clarion, IA
  • NPI 1386719748
  Care Compare group
• Iowa Specialty Hospital - Clarion

  • Rural Health Clinic/Center
  • Fort Dodge, IA
  • NPI 1922578202
  Care Compare group
• Iowa Specialty Hospital- Clarion

  • Rural Health Clinic/Center
  • Clarion, IA
  • NPI 1497791511
  Care Compare group
• Iowa Specialty Hospital- Clarion

  • Critical Access Hospital
  • Clarion, IA
  • NPI 1821045451
  Care Compare group
• Iowa Specialty Hospital-Clarion

  • Critical Access Hospital
  • Clarion, IA
  • NPI 1225053085
  NPD
• Belmond Community Hospital

  • Ambulance
  • Belmond, IA
  • NPI 1659417764
  NPD (past)

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

• Hamilton County Public Hospital

  • Critical Access Hospital
  • Webster City, IA
  • NPI 1295702397

  Hospital

  Care Compare affiliation
• Hamilton County Public Hospital

  • Rural Health Clinic/Center
  • Stratford, IA
  • NPI 1497957351

  Hospital

  Care Compare affiliation
• Iowa Specialty Hospital- Clarion

  • Critical Access Hospital
  • Clarion, IA
  • NPI 1821045451

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1104457027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 1ST ST SE",
            "city": "BELMOND",
            "state": "IA",
            "postal_code": "504211201",
            "telephone_number": "641-444-3500",
            "fax_number": "641-444-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 1ST ST SE",
            "city": "BELMOND",
            "state": "IA",
            "postal_code": "504211201",
            "telephone_number": "641-444-3500",
            "fax_number": "641-444-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "FAWN",
        "middle_name": "J",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A157630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FAWN",
            "last_name": "LARSON",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Belmond, IA
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.