Individual provider Active NPI

Nicolette Menke

  • Clinical Social Worker
  • Rock Valley, IA
National Provider Identifier
1154862977
Registry record updated May 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1905 10TH St
Rock Valley, IA 51247-1630
Phone
(712) 476-5245
Fax
(712) 476-9621
NPI assigned
Mar 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1905 10TH St
Rock Valley, IA 51247-1630

Mailing address

PO Box 163
Rock Valley, IA 51247-0163
Phone (712) 476-5245

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170602000912 IA Practitioner - Clinical Social Worker 9739456328 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orange City Municipal HospitalGroup PAC ID 4688587231, shared by 7 NPIs, 43 clinicians

Practice addresses (Care Compare)

1000 Lincoln Cir SE
Suite 100
Orange City, IA 51041-1864
Phone (712) 737-2000

Hospital & facility affiliations

  • Orange City Area Health System Hospital, Orange City, IA, CCN 161360

Merit-based Incentive Payment System (MIPS)

Final score
76.84 of 100Reported as group
Quality
86.15
Promoting interoperability
100
Improvement activities
40
Cost
36.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orange City Municipal Hospital CurrentSince Sep 18, 2023 Accepting new patients
Orange City Municipal Hospital Current Accepting new patients
Orange City Municipal Hospital CurrentSince Sep 18, 2023 Accepting new patients
Orange City Municipal Hospital Current Accepting new patients

Locations

719 8th St SE
Orange City, IA 51041
Phone (712) 707-6070

1000 Lincoln Cir SE
Ste 100
Orange City, IA 51041
Phone (712) 737-2000

1000 Lincoln Cir SE
Orange City, IA 51041
Phone (712) 737-2000

Organizations & group practices 5

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 3

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": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495756800000",
    "number": "1154862977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 163",
            "city": "ROCK VALLEY",
            "state": "IA",
            "postal_code": "512470163",
            "telephone_number": "712-476-5245",
            "fax_number": "712-476-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 10TH ST",
            "city": "ROCK VALLEY",
            "state": "IA",
            "postal_code": "512471630",
            "telephone_number": "712-476-5245",
            "fax_number": "712-476-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENKE",
        "first_name": "NICOLETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Valley, IA

Sources for this page

Verify at the official NPI Registry.