Individual provider Active NPI

Courtney Rae Rupiper, PA-C

  • Physician Assistant
  • Manning, IA
National Provider Identifier
1174061188
Registry record updated Oct 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
086033 Issued in IA
Practice address
1550 6TH St,
Manning, IA 51455
Phone
(712) 655-2072
NPI assigned
Feb 9, 2017
Last updated
Oct 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 086033 IA Primary

Addresses

Primary practice location

1550 6TH St,
Manning, IA 51455

Mailing address

1550 6TH St.
Manning, IA 51455
Phone (712) 830-4249

Other names 1

  • Courtney Rae Schroeder 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
I20170315001129 IA Practitioner - Physician Assistant 4981989860 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1550 6TH St
Manning, IA 51455-1004
Phone (712) 655-2072

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
086033IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Manning Regional Healthcare Center Physician Assistant CurrentSince Dec 9, 2017 Accepting new patients
Manning Regional Healthcare Center CurrentSince Dec 9, 2017 Accepting new patients
St Anthony Regional Hospital and Nursing Home Current Accepting new patients
Manning Regional Healthcare Center Past Accepting new patients

Locations

1550 6th St
Manning, IA 51455
Phone (712) 655-2072

Interoperability endpoints

  • Direct secure messaging: crrupiper@direct.sarh.kobledirect.com
  • Direct secure messaging: crupiper@cynchealthdsm.org

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, 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": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507248000000",
    "number": "1174061188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 6TH ST.",
            "city": "MANNING",
            "state": "IA",
            "postal_code": "51455",
            "telephone_number": "712-830-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 6TH ST,",
            "city": "MANNING",
            "state": "IA",
            "postal_code": "51455",
            "telephone_number": "712-655-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPIPER",
        "first_name": "COURTNEY",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "086033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "SCHROEDER",
            "middle_name": "RAE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manning, IA

Sources for this page

Verify at the official NPI Registry.