Emily Appleton, PAC

Individual provider Active NPI Physician Assistant · Mount Vernon, IA

NPI 1124004536 · NPPES record last updated Oct 19, 2007

Key facts

NPI
1124004536
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
001220 (IA)
Practice address
200 Virgil Ave
Mount Vernon, IA 52314-1589
Phone
(319) 895-8841
Fax
(319) 895-8477
NPI assigned
Dec 16, 2005
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Physicians Clinic Medical Foundation (1,254 clinicians)

Practice addresses (Care Compare)

2996 7TH Ave
Suite B
Marion, IA 52302-3713
Phone (319) 377-4844

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

6400 Hickman Rd
Windsor Heights, IA 50324-5001
Phone (515) 274-3551

Hospital & facility affiliations

  • St Lukes Hospital Hospital · Cedar Rapids, IA · CCN 160045

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20100309000663 IA Practitioner - Physician Assistant 7416092838 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation Current
since Jul 19, 1999
Accepting new patients
Iowa Physicians Clinic Medical Foundation Physician Assistant Current
since Jul 19, 1999
Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

200 Virgil Ave SE
Mount Vernon, IA 52314
Phone (319) 378-8280

Interoperability endpoints

  • Direct secure messaging: eappleton231549@direct.unitypoint.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001220 IA Yes

Addresses

Primary practice location

200 Virgil Ave
Mount Vernon, IA 52314-1589

Mailing address

200 Virgil Ave
Mount Vernon, IA 52314-1589
Phone (319) 895-8841

Other providers in Mount Vernon, IA

All providers in Mount Vernon, IA · Physician Assistant in Iowa

Sources for this page

Verify at the official NPI Registry.