Mary Anderson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

12050 Issued in MN

Practice address

1207 2ND St NW Apt 101
Waukon, IA 52172-1020

Phone

(563) 419-4709

NPI assigned

Sep 4, 2024

Last updated

Sep 4, 2024By 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

Other names 1

• Mary Heimer Former name

Medicare fee-for-service enrollment

Enrolled in MN, IA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regional Health Services of Howard CountyGroup PAC ID 1153238977, shared by 10 NPIs, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Regional Health Services of Howard County Hospital, Cresco, IA, CCN 161328
• Mercyone Dyersville Medical Center Hospital, Dyersville, IA, CCN 161378

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: manderson3925877@direct.trinity-health.org

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 Medical Center-Dubuque

  dba MercyOne Dubuque Medical Center

  • General Acute Care Hospital
  • Dubuque, IA
  • NPI 1659348506
  Medicare reassignment NPD
• Mercy Medical Center-Dyersville

  dba MercyOne Dyersville Medical Center

  • Critical Access Hospital
  • Dyersville, IA
  • NPI 1205816725
  Medicare reassignment NPD
• Regional Health Services of Howard County

  • Critical Access Hospital
  • Cresco, IA
  • NPI 1417991316
  Medicare reassignment NPD
• Regional Health Services of Howard County

  • Critical Access Hospital
  • Cresco, IA
  • NPI 1730283326
  Medicare reassignment NPD
• Winona Health Services

  • General Acute Care Hospital
  • Winona, MN
  • NPI 1295789352
  Medicare reassignment NPD
• Mercy Medical Center-Dubuque

  • Psychiatric Hospital Unit
  • Dubuque, IA
  • NPI 1851326920
  NPD
• Regional Health Services of Howard County

  dba Elma Medical Clinic

  • Rural Health Clinic/Center
  • Elma, IA
  • NPI 1104440809
  NPD

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

• Mercy Medical Center-Dyersville

  dba MercyOne Dyersville Medical Center

  • Critical Access Hospital
  • Dyersville, IA
  • NPI 1205816725
  Care Compare affiliation
• Regional Health Services of Howard County

  • Critical Access Hospital
  • Cresco, IA
  • NPI 1417991316
  Care Compare affiliation

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1144055674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 2ND ST NW APT 101",
            "city": "WAUKON",
            "state": "IA",
            "postal_code": "521721020",
            "telephone_number": "563-419-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 2ND ST NW APT 101",
            "city": "WAUKON",
            "state": "IA",
            "postal_code": "521721020",
            "telephone_number": "563-419-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MARY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "12050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "HEIMER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Abcm Corporation (Southcrest Manor II)
• Allamakee Community School District
• Allamakee County Case Management
• Allamakee EMS Association
• Molly Andersen, PTA
• Alex Mitchell Berns, DNP FNP-C
• Mark P Bishop, CRNA
• Rebecca Booth, DPT
• Steven Breitenfield
• Chase Daniel Bruner, DDS

• Family Nurse Practitioner in Waukon, IA
• Providers in Waukon, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.