Individual provider Active NPI

Miranda Millie Gebhart, NP-C

  • Family Nurse Practitioner
  • Chariton, IA
National Provider Identifier
1205498342
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A155248 Issued in IA
Practice address
1200 N 7TH St
Chariton, IA 50049-1210
Phone
(641) 774-8103
Fax
(641) 774-8087
NPI assigned
Jun 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A155248 IA Primary

Addresses

Primary practice location

1200 N 7TH St
Chariton, IA 50049-1210

Mailing address

215 S Spruce St
Indianola, IA 50125-4108
Phone (712) 490-7634

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
I20190826003837 IA Practitioner - Nurse Practitioner 1850629049 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lucas County Health CenterGroup PAC ID 8921916792, 33 clinicians

Practice addresses (Care Compare)

1200 N 7TH St
Chariton, IA 50049-1210
Phone (641) 774-3000

Hospital & facility affiliations

  • Everystep Hospice, Des Moines, IA, CCN 161500
  • Lucas County Health Center Hospital, Chariton, IA, CCN 161341
  • Lucas County Health Center Nursing home, CCN 16Z341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lucas County Heatlh Center CurrentSince Oct 28, 2021 Accepting new patients
Lucas County Health Center CurrentSince Oct 28, 2021 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Lucas County Health Center Past Accepting new patients

Locations

1200 N 7th St
Chariton, IA 50049
Phone (515) 774-3000

Interoperability endpoints

  • Direct secure messaging: miranda.gebhart.p20@direct.trinity-healthiowa.nextgenshare.com
  • Direct secure messaging: mgebhart843293@direct.unitypoint.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 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": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1205498342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S SPRUCE ST",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501254108",
            "telephone_number": "712-490-7634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N 7TH ST",
            "city": "CHARITON",
            "state": "IA",
            "postal_code": "500491210",
            "telephone_number": "641-774-8103",
            "fax_number": "641-774-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBHART",
        "first_name": "MIRANDA",
        "middle_name": "MILLIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-28",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A155248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chariton, IA

Sources for this page

Verify at the official NPI Registry.