Joanna Anderson, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Waterloo, IA
NPI 1295554822 · NPPES record last updated Oct 9, 2024
Key facts
- NPI
- 1295554822
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- G181443 (IA)
- Practice address
- 3251 W 9TH St
Waterloo, IA 50702-5310 - Phone
- (319) 234-2893
- NPI assigned
- Oct 9, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Black Hawk-Grundy Mental Health Center Inc
Practice addresses (Care Compare)
3251 W 9TH St
Waterloo, IA 50702-5310
Phone (319) 234-2893
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 |
|---|---|---|---|---|
| I20241205001535 | IA | Practitioner - Nurse Practitioner | 2668908328 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Black Hawk-Grundy Mental Health Center Inc. | Current |
Accepting new patients | |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients |
Locations
3251 W 9th St
Waterloo, IA 50702
Phone (319) 234-2893
Interoperability endpoints
- janderson638421@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | G181443 | IA | Yes |
Addresses
Primary practice location
3251 W 9TH St
Waterloo, IA 50702-5310
Mailing address
3251 W 9TH St
Waterloo, IA 50702-5310
Phone (319) 234-2893
Other providers in Waterloo, IA
- Amosson Chiropractic PC
- Kelly J Amosson
- Jordan Andera
- Joseph E Anderegg
- Anderson Services, LLC
- Melinda Marie Anderson
- Paula Kae Anderson
- Sandra Kay Anderson
- Tara Jo Anderson
- Whitney Marie Anderson
All providers in Waterloo, IA · Psychiatric/Mental Health Nurse Practitioner in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2024. 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.