Individual provider Active NPI

Rong None Sun, FNP

  • Family Nurse Practitioner
  • Ottumwa, IA
National Provider Identifier
1285071480
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A133590 Issued in IA
Practice address
1001 Pennsylvania Ave
Ottumwa Regional Health Center, Emergency Room
Ottumwa, IA 52501-6427
Phone
(641) 684-2323
Fax
(641) 683-2888
NPI assigned
May 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 041436577 IL
Family Nurse Practitioner 363LF0000X A133590 IA Primary
Family Nurse Practitioner 363LF0000X 2012042885 MO

Addresses

Primary practice location

1001 Pennsylvania Ave
Ottumwa Regional Health Center, Emergency Room
Ottumwa, IA 52501-6427

Mailing address

1001 Pennsylvania Ave
Ottumwa Regional Health Center, Emergency Room
Ottumwa, IA 52501-6427
Phone (641) 684-2323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL, MN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160125002710 TX Practitioner - Nurse Practitioner 4486889201 Reassigns benefits to 2 organizations
I20160419001552 IL Practitioner - Nurse Practitioner 4486889201 Reassigns benefits to 1 organization
I20170309000652 MN Practitioner - Nurse Practitioner 4486889201 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041436577ILMDNurse Practitioner
A133590IAMDFamily Nurse Practitioner
2012042885MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thoreau Clinic CurrentSince Jan 14, 2019 Accepting new patients
DHHS PHS Naihs Crownpoint Hospital CurrentSince Jan 14, 2019 Accepting new patients
Pueblo Pintado Clinic Current Accepting new patients
Southeastern Emergency Services of Memphis, P.C. Nurse Practitioner CurrentSince Apr 1, 2016 Accepting new patients
Eagle Butte Indian Health Service Hospital CurrentSince Dec 29, 2015 Accepting new patients
Mayo Clinic Health System-Lake City CurrentSince May 12, 2017 Accepting new patients

Locations

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285

32021 County 24 Blvd
Cannon Falls, MN 55009
Phone (507) 263-6000

500 W Grant St
Lake City, MN 55041
Phone (651) 345-3321

701 Hewitt Blvd
Red Wing, MN 55066
Phone (507) 377-6285

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

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.

NPI Registry JSON

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1285071480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 PENNSYLVANIA AVE",
            "address_2": "OTTUMWA REGIONAL HEALTH CENTER, EMERGENCY ROOM",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525016427",
            "telephone_number": "641-684-2323",
            "fax_number": "641-683-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PENNSYLVANIA AVE",
            "address_2": "OTTUMWA REGIONAL HEALTH CENTER, EMERGENCY ROOM",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525016427",
            "telephone_number": "641-684-2323",
            "fax_number": "641-683-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "RONG",
        "middle_name": "NONE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-29",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "041436577",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A133590",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2012042885",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottumwa, IA

Sources for this page

Verify at the official NPI Registry.