NPIMap

Individual provider Active NPI

Kylie Maurer, PA-C

  • Physician Assistant
  • Pocahontas, IA
National Provider Identifier
1275916272
Registry record updated Sep 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
078744 Issued in IA
Practice address
608 NW 7TH St
Pocahontas, IA 50574-1000
Phone
(712) 335-5632
NPI assigned
Jul 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 078744 IA Primary

Addresses

Primary practice location

608 NW 7TH St
Pocahontas, IA 50574-1000

Mailing address

608 NW 7TH St
Pocahontas, IA 50574-1000
Phone (712) 335-5632

Other names 1

  • Kylie Woodley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150911000052 IA Practitioner - Physician Assistant 3678880408 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Regional Medical CenterGroup PAC ID 7315858529, 170 clinicians

Practice addresses (Care Compare)

606 NW 7TH St
Pocahontas, IA 50574-1028

Hospital & facility affiliations

  • Unitypoint at Home Home health agency, Storm Lake, IA, CCN 167180
  • Pocahontas County Public Health Home health agency, Pocahontas, IA, CCN 167096
  • Pocahontas Community Hospital Hospital, Pocahontas, IA, CCN 161305
  • Trinity Regional Medical Center Hospital, Fort Dodge, IA, CCN 160016
  • Buena Vista Regional Medical Center Hospital, Storm Lake, IA, CCN 161375
  • Spencer Municipal Hospital Hospital, Spencer, IA, CCN 160112
  • Laurens Care Center Nursing home, Laurens, IA, CCN 165219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Regional Medical Center CurrentSince Dec 24, 2017 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation Physician Assistant CurrentSince Jan 1, 2017 Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Jan 1, 2017 Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

1010 15th St N
Humboldt, IA 50548
Phone (515) 332-2015

608 NW 7th St
Pocahontas, IA 50574
Phone (712) 335-5632

606 NW 7th St
Pocahontas, IA 50574
Phone (712) 335-3501

Interoperability endpoints

  • Direct secure messaging: kmaurer269042@direct.unitypoint.org

Organizations & group practices 6

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441929600000",
    "number": "1275916272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 NW 7TH ST",
            "city": "POCAHONTAS",
            "state": "IA",
            "postal_code": "505741000",
            "telephone_number": "712-335-5632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 NW 7TH ST",
            "city": "POCAHONTAS",
            "state": "IA",
            "postal_code": "505741000",
            "telephone_number": "712-335-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURER",
        "first_name": "KYLIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "078744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLIE",
            "last_name": "WOODLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pocahontas, IA

Sources for this page

Verify at the official NPI Registry.