Karen Frances Wayson-Kisling, NP-C
Individual provider Active NPI Gerontology Nurse Practitioner · Marengo, IA
NPI 1205407129 · NPPES record last updated Feb 24, 2026
Key facts
- NPI
- 1205407129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- AG05210078 (IA)
- Practice address
- 579 Court Ave
Marengo, IA 52301-1430 - Phone
- (319) 350-6975
- NPI assigned
- Jul 2, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IA, AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211115001599 | IA | Practitioner - Nurse Practitioner | 9032369970 | Reassigns benefits to 1 organization |
| I20250207000649 | AR | Practitioner - Nurse Practitioner | 9032369970 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AG05210078 | IA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monogram Health Professional Services PC | Current |
Accepting new patients | |
| Monogram Health Professional Services of Iowa PLLC | Current |
Accepting new patients | |
| Monogram Health Professional Services PC | Current |
Accepting new patients |
Locations
1202 NE McClain Rd
Bentonville, AR 72712
Phone (479) 278-4323
4620 E 53rd St
Ste 200
Davenport, IA 52807
Phone (563) 213-5100
5410 Maryland Way
Ste 400
Brentwood, TN 37027
Interoperability endpoints
- karen.wayson-kisling.1@22854.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | AG05210078 | IA | Yes |
Addresses
Primary practice location
579 Court Ave
Marengo, IA 52301-1430
Mailing address
579 Court Ave
Marengo, IA 52301-1430
Phone (319) 350-6975
Other practice location 1
1450 N Center Point Rd
Hiawatha, IA 52233-1393
Phone (319) 451-5000
Other providers in Marengo, IA
- Kelli Sue Switzer
- Barbara Jean Taylor
- Thomas C Ryan
- Laura Varo
- Heidi M Wauters
- Tiffany Willis
- Wilson Counseling Services, LLC
- Angela Wilson
- Louise Zook
All providers in Marengo, IA · Gerontology Nurse Practitioner in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.