Individual provider Active NPI

Rachel Lauren Timmerman, APRN

  • Nurse Practitioner
  • Shenandoah, IA
National Provider Identifier
1326764093
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A171513 Issued in IA
Practice address
1 Jack Foster Dr
Shenandoah, IA 51601-4586
Phone
(712) 246-7400
NPI assigned
Oct 14, 2022
Last updated
Nov 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A171513 IA Primary

Addresses

Primary practice location

1 Jack Foster Dr
Shenandoah, IA 51601-4586

Mailing address

1 Jack Foster Dr
Shenandoah, IA 51601-4586
Phone (712) 246-7400

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
I20221205002717 IA Practitioner - Nurse Practitioner 2860861366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shenandoah Medical CenterGroup PAC ID 9436063237, 52 clinicians

Practice addresses (Care Compare)

1 Jack Foster Dr
Shenandoah, IA 51601-4586
Phone (712) 246-7240

802 Illinois St
Sidney, IA 51652-8028
Phone (712) 374-6005

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A171513IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shenandoah Medical Center CurrentSince Oct 13, 2022 Accepting new patients
Shenandoah Medical Center CurrentSince Oct 13, 2022 Accepting new patients
Shenandoah Medical Center Current Accepting new patients
Shenandoah Medical Center Past Accepting new patients

Locations

1 Jack Foster Dr
Shenandoah, IA 51601
Phone (712) 246-7240

300 Pershing Ave
Shenandoah, IA 51601
Phone (712) 246-1230

Interoperability endpoints

  • Direct secure messaging: rachelfinnell@shenmed.allscriptsdirect.net

Organizations & group practices 4

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 2

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": "1665705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1326764093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JACK FOSTER DR",
            "city": "SHENANDOAH",
            "state": "IA",
            "postal_code": "516014586",
            "telephone_number": "712-246-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JACK FOSTER DR",
            "city": "SHENANDOAH",
            "state": "IA",
            "postal_code": "516014586",
            "telephone_number": "712-246-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMMERMAN",
        "first_name": "RACHEL",
        "middle_name": "LAUREN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-14",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A171513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, IA

Sources for this page

Verify at the official NPI Registry.