NPIMap

Individual provider Active NPI

Terry Waddell

  • Family Nurse Practitioner
  • New London, IA
National Provider Identifier
1376047522
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A114616 Issued in IA
Practice address
412 E Main St
New London, IA 52645-1220
Phone
(641) 572-0065
NPI assigned
Mar 22, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A114616 IA Primary

Addresses

Primary practice location

412 E Main St
New London, IA 52645-1220

Mailing address

412 E Main St
New London, IA 52645-1220
Phone (641) 572-0065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180618001270 IA Practitioner - Nurse Practitioner 2860747748 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knoxville Community Hospital IncGroup PAC ID 6608787056, shared by 3 NPIs, 34 clinicians
Grinnell Regional Medical CenterGroup PAC ID 0446153662, 98 clinicians

Practice addresses (Care Compare)

1002 S Lincoln St
Knoxville, IA 50138-3151
Phone (641) 842-2151

202 4TH Ave
FL 2
Grinnell, IA 50112-1898
Phone (641) 236-2925

210 4TH Ave
Grinnell, IA 50112-1898
Phone (641) 236-7511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Community Hospital Inc CurrentSince Aug 11, 2018 Accepting new patients
Avera Holy Family Current Accepting new patients
Davis County Hospital CurrentSince Jun 2, 2018 Accepting new patients
Monroe County Hospital Current Accepting new patients
Monroe County Hospital CurrentSince Aug 1, 2018 Accepting new patients
Monroe County Hospital Current Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Knoxville Community Hospital Inc CurrentSince Aug 11, 2018 Accepting new patients
Knoxville Community Hospital Inc CurrentSince Dec 10, 2025 Accepting new patients
Davis County Hospital CurrentSince Jun 2, 2018 Accepting new patients
Grinnell Regional Medical Center Family CurrentSince Jun 18, 2021 Accepting new patients
Madison County Memorial Hospital CurrentSince Jun 25, 2018 Accepting new patients
Madison County Memorial Hospital Current Accepting new patients
Madison County Memorial Hospital Current Accepting new patients
Madison County Memorial Hospital CurrentSince Jun 25, 2018 Accepting new patients
Davis County Hospital Current Accepting new patients
Grinnell Regional Medical Center Past Accepting new patients

Locations

6580 165th St
Albia, IA 52531
Phone (641) 932-1756

509 N Madison St
Bloomfield, IA 52537
Phone (641) 664-2145

210 4th Ave
Grinnell, IA 50112
Phone (641) 236-2055

202 4th Ave
Ste 100
Grinnell, IA 50112
Phone (641) 236-2323

1002 S Lincoln St
Knoxville, IA 50138
Phone (641) 842-1464

300 W Hutchings St
Winterset, IA 50273
Phone (515) 223-4368

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/madico-8e3b1615
  • FHIR API: https://fhir-myrecord.cerner.com/r4/823d67d6-97c5-40a2-b084-56d06cb82099/
  • Direct secure messaging: twaddell818093@direct.unitypoint.org

Organizations & group practices 17

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.

View all 17

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": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1376047522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 E MAIN ST",
            "city": "NEW LONDON",
            "state": "IA",
            "postal_code": "526451220",
            "telephone_number": "641-572-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 E MAIN ST",
            "city": "NEW LONDON",
            "state": "IA",
            "postal_code": "526451220",
            "telephone_number": "641-572-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADDELL",
        "first_name": "TERRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-22",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A114616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, IA

Sources for this page

Verify at the official NPI Registry.