Nicole D Slater, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A117141 Issued in IA

Practice address

1753 W Ridgeway Ave
Ste 102
Waterloo, IA 50701-4544

Phone

(319) 833-5888

Fax

(319) 833-5891

NPI assigned

Mar 10, 2016

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

• Nicole D Anderson 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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cedar Valley Hospice Hospice, Waterloo, IA, CCN 161504
• Allen Hospital Hospital, Waterloo, IA, CCN 160110
• Sartori Memorial Hospital, Inc Hospital, Cedar Falls, IA, CCN 160040
• Unitypoint Health - Marshalltown Hospital, Marshalltown, IA, CCN 160001
• Mercyone Waterloo Medical Center Hospital, Waterloo, IA, CCN 160067
• Friendship Village Retirement Nursing home, Waterloo, IA, CCN 165081

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nslater109005@direct.unitypoint.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 Physicians Clinic Medical Foundation

  • General Practice Physician
  • West Des Moines, IA
  • NPI 1366425274
  Medicare reassignment Care Compare group NPD
• St Luke'S Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD

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

• Allen Memorial Hospital Corporation

  • General Acute Care Hospital
  • Waterloo, IA
  • NPI 1336231091
  Care Compare affiliation
• Cedar Valley Hospice, Inc.

  • Community Based Hospice Care Agency
  • Waterloo, IA
  • NPI 1730304619
  Care Compare affiliation
• Covenant Medical Center Inc

  • General Acute Care Hospital
  • Waterloo, IA
  • NPI 1700827896
  Care Compare affiliation
• Friendship Village Inc.

  • Skilled Nursing Facility
  • Waterloo, IA
  • NPI 1639348873

  Nursing home

  Care Compare affiliation
• Sartori Memorial Hospital Inc

  • General Acute Care Hospital
  • Cedar Falls, IA
  • NPI 1942241955
  Care Compare affiliation
• Unitypoint Health - Marshalltown

  • General Acute Care Hospital
  • Marshalltown, IA
  • NPI 1629503057
  Care Compare affiliation

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1134580657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1753 W RIDGEWAY AVE",
            "address_2": "STE 102",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014544",
            "telephone_number": "319-833-5888",
            "fax_number": "319-833-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1753 W RIDGEWAY AVE",
            "address_2": "STE 102",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014544",
            "telephone_number": "319-833-5888",
            "fax_number": "319-833-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "NICOLE",
        "middle_name": "D",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A117141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "ANDERSON",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lori Lynn Sinclair, M.D.
• Baljit Singh, DDS
• Manmohan Singh, M.D.
• Brian P Sires, M.D.
• Nicole Sivertsen
• Michael J Slavin, DO
• Jamie Allen Sledd, PT
• Angela Slickers, R.PH.
• Heather Slifka, ARNP
• Smith Counseling Services, LLC

• Nurse Practitioner in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.