Individual provider Active NPI

Katie Sue Gratz, PA-C

  • Physician Assistant
  • Mt Pleasant, IA
National Provider Identifier
1184909657
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002235 Issued in IA
Practice address
501 S White St
Suite 1
Mt Pleasant, IA 52641-2603
Phone
(319) 385-6700
NPI assigned
Oct 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085004132 IL
Physician Assistant 363A00000X 002235 IA Primary

Addresses

Primary practice location

501 S White St
Suite 1
Mt Pleasant, IA 52641-2603

Mailing address

501 S White St
Suite 1
Mt Pleasant, IA 52641-2603
Phone (319) 385-6700

Other names 1

  • Katie Sue Wiggenjost 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
I20140709001314 IA Practitioner - Physician Assistant 4486896313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Medicine of Mt. Pleasant, P.C.Group PAC ID 6406745306, 10 clinicians

Practice addresses (Care Compare)

501 S White St
Mount Pleasant, IA 52641-2600
Phone (319) 385-6700

Hospital & facility affiliations

  • Henry County Health Center Hospital, Mount Pleasant, IA, CCN 161356
  • Southeast Iowa Regional Medical Center Hospital, West Burlington, IA, CCN 160057
  • Jefferson County Health Center Hospital, Fairfield, IA, CCN 161364

Merit-based Incentive Payment System (MIPS)

Final score
92.25 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002235IAMDSpeech-Language Pathologist
085004132ILMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: katie.gratzpac.p29@direct.fhn-fqhc.nextgenshare.com

Organizations & group practices 1

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": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1184909657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S WHITE ST",
            "address_2": "SUITE 1",
            "city": "MT PLEASANT",
            "state": "IA",
            "postal_code": "526412603",
            "telephone_number": "319-385-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S WHITE ST",
            "address_2": "SUITE 1",
            "city": "MT PLEASANT",
            "state": "IA",
            "postal_code": "526412603",
            "telephone_number": "319-385-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRATZ",
        "first_name": "KATIE",
        "middle_name": "SUE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085004132",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "002235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "WIGGENJOST",
            "middle_name": "SUE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mt Pleasant, IA

Sources for this page

Verify at the official NPI Registry.