Individual provider Active NPI

Michelle Margaret Manternach, ARNP

  • Family Nurse Practitioner
  • Iowa City, IA
National Provider Identifier
1356824072
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A132237 Issued in IA
Practice address
1632 Sycamore St
Iowa City, IA 52240
Phone
(319) 384-8822
Fax
(319) 467-1002
NPI assigned
Sep 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A132237 IA
Family Nurse Practitioner 363LF0000X A132237 IA Primary

Addresses

Primary practice location

1632 Sycamore St
Iowa City, IA 52240

Mailing address

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 384-8822

Other practice location 1

21223 Butterfield Rd
Cascade, IA 52033-8613
Phone (651) 343-1070

Other practice location 2

767 Mormon Trek Blvd
Iowa City, IA 52246-1812
Phone (319) 384-8333

Other practice location 3

2510 Corridor Way Ste 6A
Coralville, IA 52241-7604
Phone (319) 384-8500

Other practice location 4

720 Pacha Pkwy Ste 1
North Liberty, IA 52317-4797
Phone (319) 384-8801

Other practice location 5

3640 Middlebury Rd
Iowa City, IA 52245-2712
Phone (319) 467-6789

Other practice location 6

201 S Clinton St Ste 168
Iowa City, IA 52240-4034
Phone (319) 384-0520

Other names 1

  • Michelle Margaret Heinz Former name

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
I20191018001899 IA Practitioner - Nurse Practitioner 9931430170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians

Practice addresses (Care Compare)

1632 Sycamore St
Iowa City, IA 52240-6044
Phone (319) 467-8350

Hospital & facility affiliations

  • University of Iowa Hospital & Clinics Hospital, Iowa City, IA, CCN 160058

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
75.68
Promoting interoperability
78
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State University of Iowa CurrentSince Oct 2, 2019 Accepting new patients
State University of Iowa Past Accepting new patients

Locations

411 10th St SE
Ste 2300
Cedar Rapids, IA 52403
Phone (319) 731-1430

2510 Corridor Way
Ste 6A
Coralville, IA 52241
Phone (319) 334-8500

1632 Sycamore St
Iowa City, IA 52240
Phone (319) 467-8350

2591 Holiday Rd
Iowa City, IA 52241
Phone (319) 467-7150

3640 Middlebury Rd
Iowa City, IA 52245
Phone (319) 467-6789

200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

201 S Clinton St
Ste 168
Iowa City, IA 52240
Phone (319) 384-8877

767 Mormon Trek Blvd
Iowa City, IA 52246
Phone (319) 384-8333

720 Pacha Pkwy
Ste 1
North Liberty, IA 52317
Phone (319) 384-8801

Interoperability endpoints

  • Direct secure messaging: mmanternach61869@uihcdirect.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1536451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1356824072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-384-8822",
            "fax_number": "319-467-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 SYCAMORE ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52240",
            "telephone_number": "319-384-8822",
            "fax_number": "319-467-1002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21223 Butterfield Rd",
            "address_purpose": "LOCATION",
            "city": "Cascade",
            "state": "IA",
            "postal_code": "520338613",
            "country_code": "US",
            "telephone_number": "651-343-1070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "767 Mormon Trek Blvd",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522461812",
            "country_code": "US",
            "telephone_number": "319-384-8333",
            "fax_number": "319-384-8171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2510 Corridor Way Ste 6A",
            "address_purpose": "LOCATION",
            "city": "Coralville",
            "state": "IA",
            "postal_code": "522417604",
            "country_code": "US",
            "telephone_number": "319-384-8500",
            "fax_number": "319-338-5847",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 Pacha Pkwy Ste 1",
            "address_purpose": "LOCATION",
            "city": "North Liberty",
            "state": "IA",
            "postal_code": "523174797",
            "country_code": "US",
            "telephone_number": "319-384-8801",
            "fax_number": "319-384-8811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3640 Middlebury Rd",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522452712",
            "country_code": "US",
            "telephone_number": "319-467-6789",
            "fax_number": "319-467-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 S Clinton St Ste 168",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522404034",
            "country_code": "US",
            "telephone_number": "319-384-0520",
            "fax_number": "319-384-0603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANTERNACH",
        "first_name": "MICHELLE",
        "middle_name": "MARGARET",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-09",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A132237",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A132237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "HEINZ",
            "middle_name": "MARGARET",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.