Individual provider Active NPI

Mary Beth Hutchinson, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Dodge, IA
National Provider Identifier
1245203223
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G095595 Issued in IA
Practice address
720 Kenyon Rd
Fort Dodge, IA 50501-5759
Phone
(800) 482-8305
NPI assigned
Feb 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A095595 IA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G095595 IA Primary

Addresses

Primary practice location

720 Kenyon Rd
Fort Dodge, IA 50501-5759

Mailing address

720 Kenyon Rd
Fort Dodge, IA 50501-5759
Phone (800) 482-8305

Other practice location 1

18572 Thunder Rdg
Norman, OK 73072-8739
Phone (800) 482-8305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200303002224 OK Practitioner - Nurse Practitioner 2163436486
I20210414002213 CO Practitioner - Nurse Practitioner 2163436486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Kansas School of Med (KC/Wich/Sal), 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
National Mental Health Management, LLCGroup PAC ID 4688005481, 10 clinicians

Practice addresses (Care Compare)

4704 Harlan St
Suite 103
Wheat Ridge, CO 80212-7411
Phone (720) 310-2773

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
095595IAMDMental Health Counselor
A095595IAMDFamily Nurse Practitioner
G095595IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
National Mental Health Management, LLC CurrentSince Mar 12, 2021 Accepting new patients

Locations

4155 E Jewell Ave
Ste 500
Denver, CO 80222
Phone (720) 310-2773

4704 Harlan St
Ste 103
Wheat Ridge, CO 80212
Phone (720) 310-2773

Interoperability endpoints

  • Direct secure messaging: mary.beth.hutchinson.1@21279.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1245203223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 KENYON RD",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015759",
            "telephone_number": "800-482-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 KENYON RD",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015759",
            "telephone_number": "800-482-8305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18572 Thunder Rdg",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730728739",
            "country_code": "US",
            "telephone_number": "800-482-8305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUTCHINSON",
        "first_name": "MARY",
        "middle_name": "BETH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A095595",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G095595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

Verify at the official NPI Registry.