Anna Marie Dempewolf, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1008 Issued in IA

Practice address

1307 S Broadway St
Toledo, IA 52342-2307

Phone

(641) 484-5445

Fax

(641) 753-2754

NPI assigned

Nov 30, 2005

Last updated

Oct 27, 2015By 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

Physician Assistant

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Physician Associates IncGroup PAC ID 1355242496, 103 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Medical Center - Cedar Rapids Hospital, Cedar Rapids, IA, CCN 160079

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Mercy Physician Associates, Inc

  dba Mercy Care Edgewood

  • Family Medicine Physician
  • Cedar Rapids, IA
  • NPI 1427254952
  Medicare reassignment Care Compare group NPD
• Mercy Care Management, Inc

  dba Mercy Care North

  • Family Medicine Physician
  • Cedar Rapids, IA
  • NPI 1467659268
  NPD (past)
• Mercy Physician Associates, Inc

  dba Wayne A. Alberts, MD

  • Family Medicine Physician
  • Cedar Rapids, IA
  • NPI 1154527638
  NPD (past)
• Mercy Physician Associates, Inc

  dba Mercy Employee Health Center

  • Family Medicine Physician
  • Cedar Rapids, IA
  • NPI 1508147018
  NPD (past)

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

• Mercy Medical Center

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1720029333
  Care Compare affiliation

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1124002555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 S BROADWAY ST",
            "city": "TOLEDO",
            "state": "IA",
            "postal_code": "523422307",
            "telephone_number": "641-484-5445",
            "fax_number": "641-753-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 S BROADWAY ST",
            "city": "TOLEDO",
            "state": "IA",
            "postal_code": "523422307",
            "telephone_number": "641-484-5445",
            "fax_number": "641-753-2754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMPEWOLF",
        "first_name": "ANNA",
        "middle_name": "MARIE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "1008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Iowa Healthcare (CIH Tama/Toledo Clinic)
• Central Iowa Physio LLC
• Country Living Care Center
• Deer Creek Health Center, LLC (Deer Creek Family Care)
• Deer Creek Health Center, LLC (Deer Creek Family Care)
• Gwendolyn C Doland, MS LMHC CADC
• Doyle's Family Pharmacy, Inc
• Adelheid Christine Ernst, PT
• Danielle Renee Friedlein, PT, ATC
• Marisol Aguero Garcia

• Physician Assistant in Toledo, IA
• Providers in Toledo, IA by specialty
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.