Ava Diane Valdez, PAC
Individual provider Active NPI Physician Assistant · Morrison, IL
NPI 1376717439 · NPPES record last updated Jan 2, 2015
Key facts
- NPI
- 1376717439
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 085-001567 (IL)
- Practice address
- 635 E Lincolnway
Morrison, IL 61270-2963 - Phone
- (815) 772-7491
- Fax
- (815) 772-7891
- NPI assigned
- Apr 18, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Morrison Community Hospital District
Practice addresses (Care Compare)
303 N Jackson St
Morrison, IL 61270-3042
Phone (815) 772-4003
635 E Lincolnway
Morrison, IL 61270-2963
Phone (815) 772-7491
657 W Lincolnway
Morrison, IL 61270-2056
Phone (815) 772-5567
Hospital & facility affiliations
- Morrison Community Hospital
- CGH Medical Center
- Mercyone Clinton Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.8 of 100
- Quality
- 82.54
- Promoting interoperability
- 89.05
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131108001399 | IL | Practitioner - Physician Assistant | 2163657610 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085-001567 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morrison Community Hospital District | Current |
Accepting new patients | |
| Morrison Community Hospital District | Physician Assistant | Current |
Accepting new patients |
| Morrison Community Hospital District | Current | Accepting new patients | |
| Mercy Specialty Clinic | Current |
Accepting new patients | |
| Ortho Rehab Specialists PLLC | Past | Accepting new patients |
Locations
915 13th Ave N
Clinton, IA 52732
Phone (319) 243-2511
1410 N 4th St
Clinton, IA 52732
Phone (563) 244-5555
1705 16th Ave
Fulton, IL 61252
Phone (815) 589-2121
635 E Lincolnway
Morrison, IL 61270
Phone (815) 772-7274
303 N Jackson St
Morrison, IL 61270
Phone (815) 772-4003
657 W Lincolnway
Morrison, IL 61270
Phone (815) 772-4003
Interoperability endpoints
- avavaldez@mchospital.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085-001567 | IL | Yes |
Addresses
Primary practice location
635 E Lincolnway
Morrison, IL 61270-2963
Mailing address
915 13TH Ave N
Clinton, IA 52732-5067
Phone (563) 243-2511
Other providers in Morrison, IL
- Grace Steines
- Sterling Rock Falls Clinic, LTD
- Teresa Ann Stout
- Lyndsey Marie Tegeler
- John Arthur Tomasino Jr.
- Gary D Vande Kamp
- Luke Vander Bleek
- Cynthia Wadsworth
- Kristi A Wambeke
- Linda S. Welch
All providers in Morrison, IL · Physician Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.