Terry M Ideker, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

G118751 Issued in IA

Practice address

515 E Broadway
Council Bluffs, IA 51503-4419

Phone

(402) 594-1616

Fax

(712) 322-6833

NPI assigned

Oct 26, 2007

Last updated

Mar 26, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NE, IA2 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 2

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Horizon Therapy Group LLCGroup PAC ID 0244243475, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Horizon Therapy Group, LLC

  • Counselor
  • Council Bluffs, IA
  • NPI 1457305518
  Medicare reassignment Care Compare group NPD
• Heartland Family Service

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Omaha, NE
  • NPI 1891788048
  Medicare reassignment NPD
• All Care Health Center

  • Community/Retail Pharmacy
  • Council Bluffs, IA
  • NPI 1124461363
  NPD (past)
• Alegent Health Bergan Mercy Health System

  dba Alegent Health Lasting Hope Recovery Center Professional Services

  • Psychiatry Physician
  • Omaha, NE
  • NPI 1184897647
  NPD (past)
• Alegent Health Bergan Mercy Health System

  dba Lasting Hope Recovery Center

  • Psychiatric Hospital Unit
  • Omaha, NE
  • NPI 1396969499
  NPD (past)

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332720000000",
    "number": "1326227224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E BROADWAY",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034419",
            "telephone_number": "712-322-1347",
            "fax_number": "712-322-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E BROADWAY",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034419",
            "telephone_number": "402-594-1616",
            "fax_number": "712-322-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDEKER",
        "first_name": "TERRY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-26",
        "last_updated": "2012-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G118751",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NE",
            "license": "49966",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Huynh
• Hy-Vee Inc (Hy-Vee Pharmacy #2 (1101))
• Hy-Vee Inc (Hy-Vee Pharmacy #1 (1092))
• Marne Hyde
• Melissa Ruth Hynek, APRN
• Indian Hills Healthcare, Inc. (Regency Rehabilitation and Healthcare Center)
• Umajyothi Indukuri, MD
• Infectious Disease Associates PC
• Melissa Marie Ingram
• Integrated Therapy Resources

• Psychiatric/Mental Health Nurse Practitioner in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.