Individual provider Active NPI

Emma Avdic Mustedanagic, PA-C

  • Physician Assistant
  • Waterloo, IA
National Provider Identifier
1356032130
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2710 Saint Francis Dr Ste 320
Waterloo, IA 50702-5620
Phone
(319) 272-5000
Fax
(319) 272-8072
NPI assigned
May 15, 2023
Last updated
Apr 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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 Primary

Addresses

Primary practice location

2710 Saint Francis Dr Ste 320
Waterloo, IA 50702-5620

Mailing address

1320 W Lombard St
Davenport, IA 52804-2029
Phone (563) 333-5827

Other practice location 1

515 College St Ste 2000
Cedar Falls, IA 50613-2500
Phone (319) 272-5000

Other practice location 2

129 8th Ave SE
Oelwein, IA 50662-2352
Phone (319) 272-5000

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
I20250502001043 IA Practitioner - Physician Assistant 1153847116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Center IncGroup PAC ID 0244148732, 234 clinicians

Practice addresses (Care Compare)

226 Bluebell Rd
Cedar Falls, IA 50613-6328
Phone (319) 575-5800

2710 Saint Francis Dr
Waterloo, IA 50702-5620

3421 W 9TH St
Waterloo, IA 50702-5401

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center Inc Physician Assistant CurrentSince May 19, 2025 Accepting new patients
Covenant Medical Center, Inc. CurrentSince May 19, 2025 Accepting new patients

Locations

226 Bluebell Rd
Cedar Falls, IA 50613
Phone (319) 575-5800

515 College St
Ste 2000
Cedar Falls, IA 50613

129 8th Ave SE
Oelwein, IA 50662
Phone (319) 283-6153

2710 Saint Francis Dr
Ste 320
Waterloo, IA 50702
Phone (319) 272-8072

3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050

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.

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": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1356032130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 W LOMBARD ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528042029",
            "telephone_number": "563-333-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 SAINT FRANCIS DR STE 320",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025620",
            "telephone_number": "319-272-5000",
            "fax_number": "319-272-8072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 College St Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Cedar Falls",
            "state": "IA",
            "postal_code": "506132500",
            "country_code": "US",
            "telephone_number": "319-272-5000",
            "fax_number": "319-268-3586",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "129 8th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Oelwein",
            "state": "IA",
            "postal_code": "506622352",
            "country_code": "US",
            "telephone_number": "319-272-5000",
            "fax_number": "319-272-8072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSTEDANAGIC",
        "first_name": "EMMA",
        "middle_name": "AVDIC",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.