Individual provider Active NPI

Kayley Morgan Lawrence, ARNP

  • Family Nurse Practitioner
  • Waterloo, IA
National Provider Identifier
1154911865
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A160749 Issued in IA
Practice address
1717 W Ridgeway Ave
Waterloo, IA 50701-4543
Phone
(319) 233-0340
Fax
(319) 233-0666
NPI assigned
Jan 26, 2021
Last updated
Apr 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A160749 IA Primary

Addresses

Primary practice location

1717 W Ridgeway Ave
Waterloo, IA 50701-4543

Mailing address

1717 W Ridgeway Ave
Waterloo, IA 50701-4543
Phone (319) 233-0340

Other identifiers 2

IdentifierTypeStateIssuer
A160749OtherIAARNP LICENSE
144415OtherIARN LICENSE

Other names 1

  • Kayley Petersen Former name

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
I20210406001196 IA Practitioner - Nurse Practitioner 2466869631 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2020
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

1717 W Ridgeway Ave
Uph Allen Hospital Center for Urology
Waterloo, IA 50701-4543
Phone (319) 233-0340

1825 Logan Ave
Waterloo, IA 50703-1916
Phone (319) 235-3913

233 Vold Dr
Waterloo, IA 50703-1256
Phone 31923550900

Hospital & facility affiliations

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

State licenses

LicenseStateTypeSpecialty
A160749IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marengo Memorial Hospital Current Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Allen Memorial Hospital Corporation CurrentSince May 9, 2022 Accepting new patients
Marengo Memorial Hospital Family CurrentSince Apr 1, 2023 Accepting new patients
Marengo Memorial Hospital CurrentSince Apr 1, 2023 Accepting new patients
Allen Memorial Hospital Corporation CurrentSince May 9, 2022 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

300 W May St
Marengo, IA 52301
Phone (319) 462-8011

300 W May St
Ste A
Marengo, IA 52301
Phone (319) 642-5543

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

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

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

Interoperability endpoints

  • Direct secure messaging: kpetersen880989@direct.unitypoint.org

Organizations & group practices 7

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.

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": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1154911865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 W RIDGEWAY AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014543",
            "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": "1717 W RIDGEWAY AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014543",
            "telephone_number": "319-233-0340",
            "fax_number": "319-233-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "KAYLEY",
        "middle_name": "MORGAN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A160749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP LICENSE",
            "identifier": "A160749",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "144415",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLEY",
            "last_name": "PETERSEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.