Active NPI
Katie Sue Gratz, PA-C
- Physician Assistant
- Mt Pleasant, IA
National Provider Identifier
1184909657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 002235
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
Practice addresses (Care Compare)
501 S White St
Mount Pleasant, IA 52641-2600
Phone (319) 385-6700
Hospital & facility affiliations
- Henry County Health Center
- Southeast Iowa Regional Medical Center
- Jefferson County Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.25 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 002235 | IA | MD | Speech-Language Pathologist |
| 085004132 | IL | MD | Physician Assistant |
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Mt Pleasant, IA
- NPI 1427153998
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Mount Pleasant, IA
- NPI 1811571417
-
- Critical Access Hospital
- Fairfield, IA
- NPI 1376648329
-
- General Acute Care Hospital
- West Burlington, IA
- NPI 1134168263
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.