Amy Jo Angel Bodensteiner, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001543 Issued in 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

Last updated

Mar 2, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Amy Jo Angel Former name

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

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Waverly Health CenterGroup PAC ID 8820996762, 44 clinicians

Unified Therapy Services, IncGroup PAC ID 7618985714, 124 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Waverly Health Center Hospital, Waverly, IA, CCN 161339
• Floyd County Medical Center Hospital, Charles City, IA, CCN 161347

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amy.bodensteiner@waverly.eclinicaldirectplus.com

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.

• Waverly Health Center

  • Family Medicine Physician
  • Waverly, IA
  • NPI 1598959371

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Unified Therapy Services, Inc

  • Physical Therapist
  • Dubuque, IA
  • NPI 1619064086
  Care Compare group
• Waverly Health Center

  dba Janesville Clinic

  • Rural Health Clinic/Center
  • Janesville, IA
  • NPI 1184094534
  NPD
• Floyd County Memorial Hospital Commission

  • Critical Access Hospital
  • Charles City, IA
  • NPI 1265402390
  NPD (past)
• Waverly Health Center

  • Critical Access Hospital
  • Waverly, IA
  • NPI 1447299953
  NPD (past)

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

• Floyd County Memorial Hospital Commission

  • Critical Access Hospital
  • Charles City, IA
  • NPI 1265402390
  Care Compare affiliation
• Waverly Health Center

  • Critical Access Hospital
  • Waverly, IA
  • NPI 1447299953
  Care Compare affiliation

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235952000000",
    "number": "1205944972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 NINTH ST SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "50677",
            "telephone_number": "641-435-4133",
            "fax_number": "641-435-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 AMHEARST BOULEVARD",
            "address_2": "SUITE 400",
            "city": "NASHUA",
            "state": "IA",
            "postal_code": "506589712",
            "telephone_number": "641-435-4133",
            "fax_number": "641-435-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODENSTEINER",
        "first_name": "AMY",
        "middle_name": "JO ANGEL",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2009-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "ANGEL",
            "middle_name": "JO",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allimont Pharmacies (Nashua Pharmacy)
• Alex James Anthofer, D.C.
• Brayden Justin Biermann
• Chiropractic Connections PC
• City of Nashua (Nashua Area EMS)
• Clay R Dahlquist, DO
• Tara Hensley, PA-C
• Liebe Inc, (Cedar Vale Assisted Living)

• Physician Assistant in Nashua, IA
• Providers in Nashua, IA by specialty
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.