Individual provider Active NPI

Ann Marie Bock, MSN,ARNP, FNP-C

  • Nurse Practitioner
  • Waterloo, IA
National Provider Identifier
1154939965
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A159219 Issued in IA
Practice address
1753 W Ridgeway Ave Ste 105
Waterloo, IA 50701-4588
Phone
(319) 833-5940
NPI assigned
Jul 17, 2020
Last updated
Apr 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A159219 IA
Nurse Practitioner 363L00000X A159219 IA Primary

Addresses

Primary practice location

1753 W Ridgeway Ave Ste 105
Waterloo, IA 50701-4588

Mailing address

PO Box 2758
Waterloo, IA 50704-2758
Phone (319) 235-5390

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ann.bock@cvms.eclinicaldirectplus.com Direct

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
I20210908001080 IA Practitioner - Nurse Practitioner 0547666174 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sumner Community ClubGroup PAC ID 5890607691, 11 clinicians

Practice addresses (Care Compare)

1000 Brandilynn Blvd
Cedar Falls, IA 50613-7462

1655 E San Marnan Dr
Suite H
Waterloo, IA 50702-4378
Phone (319) 232-2281

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

4480 Utica Ridge Rd
Suite 160
Bettendorf, IA 52722-1637
Phone (563) 742-5950

909 W 1St St
Sumner, IA 50674-1203
Phone (563) 578-3275

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
A159219IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sumner Community Club Nurse Practitioner CurrentSince Jul 15, 2024 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Jan 1, 2026 Accepting new patients
Sumner Community Club Nurse Practitioner CurrentSince Jul 15, 2024 Accepting new patients
Virtual Radiologic Professionals of Texas I, P.a. Past Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

1000 Brandilynn Blvd
Cedar Falls, IA 50613
Phone (319) 553-0828

201 E J Ave
Grundy Center, IA 50638
Phone (319) 824-5081

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

51 Unitypoint Way
Ste 100
Marshalltown, IA 50158
Phone (641) 844-6259

1704 S Center St
Marshalltown, IA 50158
Phone (641) 854-8550

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

2134 Logan Ave
Ste A
Waterloo, IA 50703
Phone (319) 226-8420

1753 W Ridgeway Ave
Ste 105
Waterloo, IA 50701
Phone (319) 833-5940

1753 W Ridgeway Ave
Ste 107
Waterloo, IA 50701
Phone (319) 833-5907

1655 E San Marnan Dr
Ste H
Waterloo, IA 50702
Phone (319) 232-2281

101 Cedar River Pkwy
Ste 101
Waverly, IA 50677
Phone (319) 352-1037

Interoperability endpoints

  • Direct secure messaging: abock693523@direct.unitypoint.org

Organizations & group practices 6

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 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": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1154939965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2758",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507042758",
            "telephone_number": "319-235-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1753 W RIDGEWAY AVE STE 105",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014588",
            "telephone_number": "319-833-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCK",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSN,ARNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-17",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A159219",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A159219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ann.bock@cvms.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "CVMS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1753 W Ridgeway Ave Ste 105",
            "city": "Waterloo",
            "state": "IA",
            "country_code": "US",
            "postal_code": "507014588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.