Ava Diane Valdez, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085-001567 Issued in IL

Practice address

635 E Lincolnway
Morrison, IL 61270-2963

Phone

(815) 772-7491

Fax

(815) 772-7891

NPI assigned

Apr 18, 2008

Last updated

Jan 2, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Physician Assistant

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Morrison Community Hospital DistrictGroup PAC ID 2466349907, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Morrison Community Hospital Hospital, Morrison, IL, CCN 141329
• CGH Medical Center Hospital, Sterling, IL, CCN 140043
• Mercyone Clinton Medical Center Hospital, Clinton, IA, CCN 160080

Merit-based Incentive Payment System (MIPS)

Final score

88.8 of 100Reported as apm

Quality

82.54

Promoting interoperability

89.05

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: avavaldez@mchospital.medalliesdirect.net

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.

• Morrison Community Hospital District

  • Family Medicine Physician
  • Morrison, IL
  • NPI 1700907250
  Medicare reassignment Care Compare group NPD
• Morrison Community Hospital District

  • Critical Access Hospital
  • Morrison, IL
  • NPI 1184844938
  Medicare reassignment
• Morrison Community Hospital District

  • Counselor
  • Morrison, IL
  • NPI 1881331981

  Physician Assistant

  NPD
• Mercy Specialty Clinic

  dba MercyOne Clinton North Health Plaza

  • Family Medicine Physician
  • Clinton, IA
  • NPI 1275197998
  NPD
• CGH Medical Center

  • General Acute Care Hospital
  • Sterling, IL
  • NPI 1902854623
  NPD (past)
• Ortho Rehab Specialists PLLC

  • Physical Therapist
  • Rockford, IL
  • NPI 1891330882
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• CGH Medical Center

  • General Acute Care Hospital
  • Sterling, IL
  • NPI 1902854623
  Care Compare affiliation
• Morrison Community Hospital District

  • Critical Access Hospital
  • Morrison, IL
  • NPI 1184844938
  Care Compare affiliation
• Mercy Medical Center-Clinton, Inc

  dba MercyOne Clinton Medical Center

  • General Acute Care Hospital
  • Clinton, IA
  • NPI 1427093962
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420156800000",
    "number": "1376717439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 13TH AVE N",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527325067",
            "telephone_number": "563-243-2511",
            "fax_number": "563-243-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 E LINCOLNWAY",
            "city": "MORRISON",
            "state": "IL",
            "postal_code": "612702963",
            "telephone_number": "815-772-7491",
            "fax_number": "815-772-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "AVA",
        "middle_name": "DIANE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-18",
        "last_updated": "2015-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-001567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Steines
• Sterling Rock Falls Clinic, LTD (Morrison Clinic)
• Teresa Ann Stout, RN, BSN, CDE
• Lyndsey Marie Tegeler, DC
• John Arthur Tomasino Jr., D.D.S.
• Gary D Vande Kamp, PT
• Luke Vander Bleek, RPH
• Cynthia Wadsworth, NP
• Kristi A Wambeke, PT
• Linda S. Welch, CRNA DNP

• Physician Assistant in Morrison, IL
• Providers in Morrison, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.