Individual provider Active NPI

Kim E Chapman, RN FNP

  • Family Nurse Practitioner
  • Strawberry Point, IA
National Provider Identifier
1164495602
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-02647 Issued in NM
Practice address
420 Commercial St
Strawberry Point, IA 52076-9656
Phone
(417) 536-5043
NPI assigned
Feb 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 112925 MO
Family Nurse Practitioner 363LF0000X CNP-02647 NM Primary

Addresses

Primary practice location

420 Commercial St
Strawberry Point, IA 52076-9656

Mailing address

420 Commercial St
Strawberry Point, IA 52076-9656
Phone (417) 536-5043

Other identifiers 1

IdentifierTypeStateIssuer
425266731MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, WI, WA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20130222000391 IA Practitioner - Nurse Practitioner 9436174000 Reassigns benefits to 6 organizations
I20160404001480 WI Practitioner - Nurse Practitioner 9436174000 Reassigns benefits to 1 organization
I20191104001040 WA Practitioner - Nurse Practitioner 9436174000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waterloo Emergency Physicians, LLCGroup PAC ID 5092246967, 21 clinicians

Practice addresses (Care Compare)

3421 W 9TH St
Waterloo, IA 50702-5401
Phone (319) 272-8000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Veterans Memorial Hospital City of Waukon Ia CurrentSince Sep 22, 2021 Accepting new patients
Veterans Memorial Hospital City of Waukon Ia Current Accepting new patients
Iowa Emergency Physicians LLP CurrentSince Apr 18, 2020 Accepting new patients
South Sound Inpatient Physicians PLLC Current Accepting new patients
Watertown Physician Practices LLC Family Current Accepting new patients
Knoxville Community Hospital Inc CurrentSince Jun 13, 2014 Accepting new patients
Knoxville Community Hospital Inc CurrentSince Jun 13, 2014 Accepting new patients
South Sound Inpatient Physicians PLLC CurrentSince Oct 1, 2019 Accepting new patients
Veterans Memorial Hospital City of Waukon Ia Current Accepting new patients
Waterloo Emergency Physicians, LLC CurrentSince Oct 15, 2024 Accepting new patients
South Sound Inpatient Physicians PLLC CurrentSince Oct 1, 2019 Accepting new patients
Iowa Emergency Physicians LLP CurrentSince Apr 18, 2020 Accepting new patients
Watertown Physician Practices LLC CurrentSince Mar 5, 2016 Accepting new patients
Veterans Memorial Hospital City of Waukon Ia CurrentSince Sep 22, 2021 Accepting new patients
Hospitalist Medicine Physicians of California-San Bernardino, PC CurrentSince Jan 20, 2020 Accepting new patients
North Springfield Family Medical Walk in Clinics Inc PastSince Dec 31, 2012 Accepting new patients

Locations

1600 Morgan St
Keokuk, IA 52632
Phone (319) 524-7150

1002 S Lincoln St
Knoxville, IA 50138
Phone (641) 842-1464

3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050

40 1st St SE
Waukon, IA 52172
Phone (563) 568-3411

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

330 S Stillaguamish Ave
Arlington, WA 98223
Phone (360) 435-2133

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

1507 Doctors Ct
Watertown, WI 53094
Phone (920) 261-4111

125 Hospital Dr
Watertown, WI 53098
Phone (920) 261-4210

Interoperability endpoints

  • Direct secure messaging: kchapman3930860@direct.trinity-health.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1164495602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 COMMERCIAL ST",
            "city": "STRAWBERRY POINT",
            "state": "IA",
            "postal_code": "520769656",
            "telephone_number": "417-536-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 COMMERCIAL ST",
            "city": "STRAWBERRY POINT",
            "state": "IA",
            "postal_code": "520769656",
            "telephone_number": "417-536-5043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "KIM",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "RN FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MO",
            "license": "112925",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-02647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "425266731",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Strawberry Point, IA

Sources for this page

Verify at the official NPI Registry.