Individual provider Active NPI

Donna Rae Dobson-Tobin, NP, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Waterloo, IA
National Provider Identifier
1245227099
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
17912 Issued in MT
Practice address
3251 W 9TH St
Waterloo, IA 50702-5310
Phone
(319) 234-2893
Fax
(319) 234-0354
NPI assigned
Oct 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 17912 MT Primary

Addresses

Primary practice location

3251 W 9TH St
Waterloo, IA 50702-5310

Mailing address

PO Box 30374
Billings, MT 59107-0374
Phone (406) 248-3175

Other names 1

  • Donna Rae Dobson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, IA2 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
I20051020000630 MT Practitioner - Nurse Practitioner 6103842968 Reassigns benefits to 1 organization
I20150407001355 IA Practitioner - Nurse Practitioner 6103842968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Black Hawk-Grundy Mental Health Center IncGroup PAC ID 1850280363, 21 clinicians

Practice addresses (Care Compare)

251 Ave F
Billings, MT 59101-0652
Phone (319) 234-2893

3251 W 9TH St
Waterloo, IA 50702-5310
Phone (319) 234-2893

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17912MTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Rimrock Foundation Past Accepting new patients
South Central Montana Regional Mental Health Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ddobsontobin899887@direct.unitypoint.org

Organizations & group practices 4

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": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1245227099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30374",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591070374",
            "telephone_number": "406-248-3175",
            "fax_number": "406-248-3821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 W 9TH ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025310",
            "telephone_number": "319-234-2893",
            "fax_number": "319-234-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBSON-TOBIN",
        "first_name": "DONNA",
        "middle_name": "RAE",
        "credential": "NP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "17912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "DOBSON",
            "middle_name": "RAE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.