Kristine Kay Ballweg
Individual provider Active NPI Physician Assistant · Amana, IA
NPI 1265898522 · NPPES record last updated Dec 21, 2016
Key facts
- NPI
- 1265898522
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 505 39TH Ave
Amana, IA 52203 - Phone
- (319) 622-3231
- Fax
- (319) 622-3077
- NPI assigned
- Jan 1, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Yale University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Progressive Rehabilitation Associates LLC
Amana Family Practice Clinic, PC
Practice addresses (Care Compare)
1130 S Scott Blvd
Suite 1
Iowa City, IA 52240-2909
Phone (319) 354-2429
505 39TH Ave
Amana, IA 52203-8229
Phone (319) 622-3231
PO Box
Suite 207
Amana, IA 52203-0207
Hospital & facility affiliations
- Compass Memorial Healthcare
- Mercy Medical Center - Cedar Rapids
- St Lukes Hospital
- Colonial Manor of Amana
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 |
|---|---|---|---|---|
| I20160310000334 | IA | Practitioner - Physician Assistant | 1355647793 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abbe Center for Community Mental Health, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
505 39TH Ave
Amana, IA 52203
Mailing address
PO Box 207
505 39TH Ave
Amana, IA 52203
Phone (319) 622-3231
Other names
- Ms. Kristine Kay Schuette
NPI Registry JSON
{
"created_epoch": "1451606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482278400000",
"number": "1265898522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 207",
"address_2": "505 39TH AVE",
"city": "AMANA",
"state": "IA",
"postal_code": "52203",
"telephone_number": "319-622-3231",
"fax_number": "319-622-3077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 39TH AVE",
"city": "AMANA",
"state": "IA",
"postal_code": "52203",
"telephone_number": "319-622-3231",
"fax_number": "319-622-3077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLWEG",
"first_name": "KRISTINE",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-01",
"last_updated": "2016-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTINE",
"last_name": "SCHUETTE",
"middle_name": "KAY",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Amana, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2016. 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.