NPIMap

Individual provider Active NPI

Mary C. Nading, PA-C

  • Physician Assistant
  • Waterloo, IA
National Provider Identifier
1326412719
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
079183 Issued in IA
Practice address
1015 S Hackett Rd
Waterloo, IA 50701-3500
Phone
(319) 234-5990
NPI assigned
Nov 23, 2015
Last updated
May 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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 079183 IA Primary

Addresses

Primary practice location

1015 S Hackett Rd
Waterloo, IA 50701-3500

Mailing address

4150 Kimball Ave
PO Box 2758
Waterloo, IA 50704-2758
Phone (319) 235-5390

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mary.nading@cvms.eclinicaldirectplus.com Direct

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
I20151222002028 IA Practitioner - Physician Assistant 9830490507 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

1015 S Hackett Rd
Cedar Valley Digestive Health Cente
Waterloo, IA 50701-3500
Phone (319) 234-5990

1753 W Ridgeway Ave
Waterloo, IA 50701-4588

1825 Logan Ave
Waterloo, IA 50703-1916
Phone (319) 235-3941

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
079183IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Valley Medical Specialists PC CurrentSince Dec 7, 2015 Accepting new patients
Cedar Valley Medical Specialists PC CurrentSince Dec 7, 2015 Accepting new patients
Cedar Valley Medical Specialists PC Past Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Cedar Valley Medical Specialists PC Past Accepting new patients

Locations

1015 S Hackett Rd
Waterloo, IA 50701
Phone (319) 234-5990

1753 W Ridgeway Ave
Ste 107
Waterloo, IA 50701
Phone (319) 833-5907

4006 Johnathan St
Ste B
Waterloo, IA 50701
Phone (319) 233-1540

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1326412719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 KIMBALL AVE",
            "address_2": "PO BOX 2758",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507042758",
            "telephone_number": "319-235-5390",
            "fax_number": "319-233-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S HACKETT RD",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507013500",
            "telephone_number": "319-234-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADING",
        "first_name": "MARY",
        "middle_name": "C.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-23",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "079183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mary.nading@cvms.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "CVMS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1015 S Hackett Rd",
            "city": "Waterloo",
            "state": "IA",
            "country_code": "US",
            "postal_code": "507013500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.