Amy Jo Angel Bodensteiner, PAC
Individual provider Active NPI Physician Assistant · Nashua, IA
NPI 1205944972 · NPPES record last updated Mar 2, 2009
Key facts
- NPI
- 1205944972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 001543 (IA)
- Practice address
- 80 Amhearst Boulevard
Suite 400
Nashua, IA 50658-9712 - Phone
- (641) 435-4133
- Fax
- (641) 435-4003
- NPI assigned
- Aug 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 13
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Waverly Health Center
Unified Therapy Services, Inc
Practice addresses (Care Compare)
312 9TH St SW
Waverly, IA 50677-2929
Phone (319) 352-4120
4135 Pennsylvania Ave
Dubuque, IA 52002-2628
Hospital & facility affiliations
- Waverly Health Center
- Floyd County Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- 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 |
|---|---|---|---|---|
| I20040430000434 | IA | Practitioner - Physician Assistant | 5395732218 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001543 | IA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waverly Health Center | Current |
Accepting new patients | |
| Waverly Health Center | Physician Assistant | Current |
Accepting new patients |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients |
Locations
202 Wildcat Way
Janesville, IA 50647
Phone (319) 987-2361
80 Amherst Blvd
Ste 400
Nashua, IA 50658
Phone (641) 435-4133
1001 Mason Way
Shell Rock, IA 50670
Phone (319) 885-6530
312 9th St SW
Waverly, IA 50677
Phone (319) 352-4120
312 9th St SW
Ste 2300
Waverly, IA 50677
Phone (319) 483-1390
100 Wartburg Blvd
Ste 1392
Waverly, IA 50677
Phone (319) 346-9783
312 9th St SW
Ste 3300
Waverly, IA 50677
Phone (319) 483-1400
Interoperability endpoints
- amy.bodensteiner@waverly.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001543 | IA | Yes |
Addresses
Primary practice location
80 Amhearst Boulevard
Suite 400
Nashua, IA 50658-9712
Mailing address
312 Ninth St SW
Waverly, IA 50677
Phone (641) 435-4133
Other names
- Miss Amy Jo Angel
Other providers in Nashua, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2009. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.