Individual provider Active NPI

Beth A Sadewasser, ARNP

  • Family Nurse Practitioner
  • Waukon, IA
National Provider Identifier
1356330161
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
087627 Issued in IA
Practice address
40 1St St SE
Waukon, IA 52172-2022
Phone
(563) 568-3411
Fax
(563) 568-6139
NPI assigned
Oct 14, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A087627 IA
Family Nurse Practitioner 363LF0000X 087627 IA Primary

Addresses

Primary practice location

40 1St St SE
Waukon, IA 52172-2022

Mailing address

PO Box 370
Guttenberg, IA 52052-0370
Phone (563) 252-2141

Other practice location 1

2nd and Main St
Guttenberg, IA 52052
Phone (563) 252-2141

Other identifiers 1

IdentifierTypeStateIssuer
1356330161MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, WI2 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

Enrollment IDStateProvider typePAC IDDetails
I20100526000048 IA Practitioner - Nurse Practitioner 7517096852 Reassigns benefits to 1 organization
I20230926000773 WI Practitioner - Nurse Practitioner 7517096852 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
087627IAMDFamily Nurse Practitioner
A087627IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie Du Chien Memorial Hospital Association Inc CurrentSince Sep 11, 2023 Accepting new patients
Delaware County Memorial Hospital CurrentSince Apr 11, 2013 Accepting new patients
Prairie Du Chien Memorial Hospital Assoc Inc CurrentSince Sep 11, 2023 Accepting new patients
Delaware County Memorial Hospital CurrentSince Apr 11, 2013 Accepting new patients
Family Medicine Associates PC Past Accepting new patients
Delaware County Memorial Hospital Past Accepting new patients
Radiology Consultants of Iowa, PLC Past Accepting new patients

Locations

709 W Main St
Manchester, IA 52057
Phone (563) 927-3232

345 1st St S
Winthrop, IA 50682
Phone (319) 935-3343

37868 US Highway 18
Prairie du Chien, WI 53821
Phone (608) 357-2000

Interoperability endpoints

  • Direct secure messaging: bsadewasser817038@direct.gundersenhealth.org

Organizations & group practices 7

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1356330161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "GUTTENBERG",
            "state": "IA",
            "postal_code": "520520370",
            "telephone_number": "563-252-2141",
            "fax_number": "563-252-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 1ST ST SE",
            "city": "WAUKON",
            "state": "IA",
            "postal_code": "521722022",
            "telephone_number": "563-568-3411",
            "fax_number": "563-568-6139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2nd and Main St",
            "address_purpose": "LOCATION",
            "city": "Guttenberg",
            "state": "IA",
            "postal_code": "52052",
            "country_code": "US",
            "telephone_number": "563-252-2141",
            "fax_number": "563-252-9013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SADEWASSER",
        "first_name": "BETH",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A087627",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "087627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356330161",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukon, IA

Sources for this page

Verify at the official NPI Registry.