Individual provider Active NPI

Laura Ubben, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Waterloo, IA
National Provider Identifier
1366019697
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G163604 Issued in IA
Practice address
1825 Logan Ave
Waterloo, IA 50703
Phone
(319) 235-3941
NPI assigned
Jun 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G163604 IA Primary

Addresses

Primary practice location

1825 Logan Ave
Waterloo, IA 50703

Mailing address

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

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
I20210713001247 IA Practitioner - Nurse Practitioner 1658773783 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Allen Memorial Hospital CorporationGroup PAC ID 4284546045, 149 clinicians

Practice addresses (Care Compare)

1825 Logan Ave
Waterloo, IA 50703-1916
Phone (319) 235-3913

233 Vold Dr
Waterloo, IA 50703-1256
Phone 31923550900

Hospital & facility affiliations

  • Allen Hospital Hospital, Waterloo, IA, CCN 160110
  • Mercyone Waterloo Medical Center Hospital, Waterloo, IA, CCN 160067

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
83.66
Promoting interoperability
83
Improvement activities
40
Cost
69.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G163604IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allen Memorial Hospital Corporation Nurse Practitioner CurrentSince Aug 16, 2021 Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Aug 16, 2021 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Allen Memorial Hospital Corporation CurrentSince Aug 16, 2021 Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Aug 16, 2021 Accepting new patients
Allen Memorial Hospital Corporation Past Accepting new patients

Locations

55 Unitypoint Way
Marshalltown, IA 50158
Phone (641) 754-5145

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

Interoperability endpoints

  • Direct secure messaging: lubben207303@direct.unitypoint.org

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 and National Provider Directory roles.

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": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1366019697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 LOGAN AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "50703",
            "telephone_number": "319-235-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 LOGAN AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "50703",
            "telephone_number": "319-235-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UBBEN",
        "first_name": "LAURA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G163604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.