Individual provider Active NPI

Maci Nicole Griffith

  • Physician Assistant
  • Hiawatha, IA
National Provider Identifier
1366059610
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
400 S Blairsferry Xing
Hiawatha, IA 52233-7988
Phone
(319) 393-0783
NPI assigned
Sep 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

400 S Blairsferry Xing
Hiawatha, IA 52233-7988

Mailing address

2903 Savannah Dr
Hiawatha, IA 52233-8009
Phone (319) 310-3738

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
I20221206002177 IA Practitioner - Physician Assistant 7113396680 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2375 Edgewood Rd SW
Cedar Rapids, IA 52404-4736
Phone (319) 396-1983

400 S Blairsferry Xing
Suite a
Hiawatha, IA 52233-7988
Phone (319) 393-0783

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Nov 7, 2022 Accepting new patients
Iowa Physicians Clinic Medical Foundation Physician Assistant CurrentSince Nov 7, 2022 Accepting new patients
St Luke'S Jones Regional Medical Center CurrentSince Apr 26, 2023 Accepting new patients

Locations

1795 Highway 64 E
Anamosa, IA 52205
Phone (319) 462-6161

1795 Highway 64 E
Ste 1
Anamosa, IA 52205
Phone (319) 481-6291

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

400 S Blairsferry Crossing
Ste A
Hiawatha, IA 52233
Phone (319) 393-0783

400 S Blairsferry Crossing
Hiawatha, IA 52233
Phone (319) 368-5582

Interoperability endpoints

  • Direct secure messaging: mgriffith686863@direct.unitypoint.org

Organizations & group practices 5

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 3

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": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1366059610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 SAVANNAH DR",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522338009",
            "telephone_number": "319-310-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S BLAIRSFERRY XING",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522337988",
            "telephone_number": "319-393-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "MACI",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawatha, IA

Sources for this page

Verify at the official NPI Registry.