Individual provider Active NPI

Lori L Bailey, ARNP

  • Family Nurse Practitioner
  • Oskaloosa, IA
National Provider Identifier
1306819248
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0703106 Issued in IA
Practice address
410 N 12TH St
Suite 100
Oskaloosa, IA 52577-2495
Phone
(641) 672-3360
Fax
(641) 672-3356
NPI assigned
Feb 10, 2006
Last updated
Jun 23, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F0703106 IA Primary

Addresses

Primary practice location

410 N 12TH St
Suite 100
Oskaloosa, IA 52577-2495

Mailing address

410 N 12TH St
Suite 100
Oskaloosa, IA 52577-2495
Phone (641) 672-3360

Other identifiers 3

IdentifierTypeStateIssuer
IA0129OtherIAJOHN DEERE PROVIDER NUMBE
0422105MedicaidIA
05609OtherIABC/BS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200917000558 IA Order and Referring Only - Nurse Practitioner 4385532506

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F0703106IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Central Iowa Past Accepting new patients
Hospice of Central Iowa Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Knoxville Hospital & ClinicsKnoxville, IA, CCN 161355 Hospital Corporate Director Jan 1, 2016
Knoxville Hospital & ClinicsKnoxville, IA, CCN 16Z355 Hospital Corporate Director Jan 1, 2016

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245715200000",
    "number": "1306819248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N 12TH ST",
            "address_2": "SUITE 100",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525772495",
            "telephone_number": "641-672-3360",
            "fax_number": "641-672-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N 12TH ST",
            "address_2": "SUITE 100",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525772495",
            "telephone_number": "641-672-3360",
            "fax_number": "641-672-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "LORI",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2009-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "F0703106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE PROVIDER NUMBE",
            "identifier": "IA0129",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0422105",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "05609",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oskaloosa, IA

Sources for this page

Verify at the official NPI Registry.