Active NPI
Elizabeth Ackerson, ARNP
- Nurse Practitioner
- Waterloo, IA
National Provider Identifier
1225485097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- A126047
- Practice address
- 3421 W 9TH St
Waterloo, IA 50702-5401 - Phone
- (319) 272-8000
- NPI assigned
- May 20, 2016
- Last updated
- May 20, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A126047 | IA | Primary |
Addresses
Primary practice location
3421 W 9TH St
Waterloo, IA 50702-5401
Mailing address
912 Western Ave
Waterloo, IA 50702-3036
Phone (319) 269-0204
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A126047 | IA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Emergency Physicians LLP | Nurse Practitioner | Current | Accepting new patients |
| Iowa Emergency Physicians LLP | Nurse Practitioner | Current | Accepting new patients |
Locations
3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Waterloo, IA
- NPI 1386879427
Nurse Practitioner
-
- Psychiatric/Mental Health Nurse Practitioner
- Reinbeck, IA
- NPI 1033028436
-
- Emergency Medicine Physician
- Keokuk, IA
- NPI 1518354810
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463702400000",
"number": "1225485097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 WESTERN AVE",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507023036",
"telephone_number": "319-269-0204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3421 W 9TH ST",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507025401",
"telephone_number": "319-272-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKERSON",
"first_name": "ELIZABETH",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-20",
"last_updated": "2016-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "A126047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterloo, IA
- Sidrah Abid, MD
- Ablm Northeast Profesional Association (ABLM Family Dental Center)
- Victor Adam Abrich, M.D.
- Access Evaluation and Education Services, L.L.C. (Access Evaluations and Education)
- Robert Ackerman, BSW, TCADC
- Acton Optical, LLC
- Alexis M Adams, LMSW
- Chloe Adams
- Jennifer Jae Adams, LMHC
- Melissa Sue Adams, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.