Chad Proctor

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A108024 Issued in IA

Practice address

701 10TH St SE
Cedar Rapids, IA 52403-1251

Phone

(319) 398-6011

NPI assigned

Apr 10, 2018

Last updated

Apr 10, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mercy Medical CenterGroup PAC ID 4183535271, 295 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Home Care Home health agency, Cedar Rapids, IA, CCN 167151
• Aveanna Healthcare Home health agency, Hiawatha, IA, CCN 167313
• Hospice of Mercy Hospice, Hiawatha, IA, CCN 161512
• Mercy Medical Center - Cedar Rapids Hospital, Cedar Rapids, IA, CCN 160079

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mercy Medical Center

  dba Mercy Family Counseling, Mercy Psychiatric

  • Psychiatry Physician
  • Cedar Rapids, IA
  • NPI 1700834165
  Medicare reassignment Care Compare group NPD
• Mercy Physician Associates, Inc

  dba Mercy Care Edgewood

  • Family Medicine Physician
  • Cedar Rapids, IA
  • NPI 1427254952
  Medicare reassignment NPD
• Mercy Medical Center

  dba Hall Perrine Cancer Center Pharmacy

  • Community/Retail Pharmacy
  • Cedar Rapids, IA
  • NPI 1114923513
  NPD
• Mercy Medical Center

  dba Mercy Professional Services

  • Cardiovascular Disease Physician
  • Cedar Rapids, IA
  • NPI 1669617106
  NPD
• Mercy Physician Associates Inc

  dba MercyCare Health at Mount Mercy

  • Family Medicine Physician
  • Cedar Rapids, IA
  • NPI 1619554086
  NPD
• Mercy Physician Associates, Inc

  dba Wayne A. Alberts, MD

  • Family Medicine Physician
  • Cedar Rapids, IA
  • NPI 1154527638
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Medical Center

  dba Hospice of Mercy

  • Community Based Hospice Care Agency
  • Hiawatha, IA
  • NPI 1033159769
  Care Compare affiliation
• Mercy Medical Center

  dba Mercy Home Care

  • Home Health Agency
  • Cedar Rapids, IA
  • NPI 1639119332
  Care Compare affiliation
• Mercy Medical Center

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1720029333
  Care Compare affiliation
• Recover Health of Iowa, Inc.

  dba Aveanna Home Health

  • Home Health Agency
  • Hiawatha, IA
  • NPI 1831196153
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1194222711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 10TH ST SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524031251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 10TH ST SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524031251",
            "telephone_number": "319-398-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "CHAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A108024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Price, LMHC
• Heather Pries, DDS
• Brian Keith Privett, M.D.
• Julia D Privett, PA-C
• PRK Williams Inc. (To The Rescue)
• Kimberly Lynn Proctor, RD, LD
• Professional Hearing Services, Inc. (Professional Hearing Solutions by Dr. Jill)
• Progressive Rehabilitation Medicine, PC
• Michelle Marie Proskovec, PHARMD
• Pruchno Medicine LLC. / Health Transitions Clinic

• Family Nurse Practitioner in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.

Verify at the official NPI Registry.