Individual provider Active NPI

Holly Lynn Gaede, NP-C, FNP-BC

  • Nurse Practitioner
  • Waterloo, IA
National Provider Identifier
1144416488
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
108627 Issued in IA
Practice address
2413 W Ridgeway Ave
Waterloo, IA 50701-4306
Phone
(319) 233-0340
Fax
(319) 233-0666
NPI assigned
Sep 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 108627 IA Primary

Addresses

Primary practice location

2413 W Ridgeway Ave
Waterloo, IA 50701-4306

Mailing address

2413 W Ridgeway Ave
Waterloo, IA 50701-4306
Phone (319) 233-0340

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20071003000383 IA Practitioner - Nurse Practitioner 9133214349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Allen Memorial Hospital CorporationGroup PAC ID 4284546045, 149 clinicians

Practice addresses (Care Compare)

233 Vold Dr
Waterloo, IA 50703-1256
Phone 31923550900

Hospital & facility affiliations

  • Allen Hospital Hospital, Waterloo, IA, CCN 160110
  • Community Memorial Hospital Medical Center Hospital, Sumner, IA, CCN 161320
  • Grundy County Memorial Hospital Hospital, Grundy Center, IA, CCN 161303
  • Waverly Health Center Hospital, Waverly, IA, CCN 161339
  • Buchanan County Health Center Hospital, Independence, IA, CCN 161335

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
83.66
Promoting interoperability
83
Improvement activities
40
Cost
69.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
108627IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allen Memorial Hospital Corporation Nurse Practitioner CurrentSince Jul 31, 2016 Accepting new patients
Allen Memorial Hospital Corporation CurrentSince Jul 31, 2016 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

1600 1st St E
Independence, IA 50644
Phone (319) 332-0999

909 W 1st St
Sumner, IA 50674
Phone (563) 578-3275

2413 W Ridgeway Ave
Waterloo, IA 50701
Phone (319) 233-0340

1717 W Ridgeway Ave
Waterloo, IA 50701
Phone (319) 233-0340

233 Vold Dr
Waterloo, IA 50703
Phone (319) 235-5090

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

Interoperability endpoints

  • Direct secure messaging: hgaede231766@direct.unitypoint.org

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1144416488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 W RIDGEWAY AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014306",
            "telephone_number": "319-233-0340",
            "fax_number": "319-233-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 W RIDGEWAY AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014306",
            "telephone_number": "319-233-0340",
            "fax_number": "319-233-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAEDE",
        "first_name": "HOLLY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "NP-C, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "108627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.