Individual provider Active NPI

Katie Gudenkauf, APNP

  • Family Nurse Practitioner
  • Dubuque, IA
National Provider Identifier
1396222048
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8528-33 Issued in WI
Practice address
2255 John F Kennedy Rd
Dubuque, IA 52002-2846
Phone
(563) 589-4960
NPI assigned
Jul 25, 2018
Last updated
Jan 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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 8528-33 WI Primary

Addresses

Primary practice location

2255 John F Kennedy Rd
Dubuque, IA 52002-2846

Mailing address

2255 John F Kennedy Rd
Dubuque, IA 52002-2846
Phone (563) 589-4960

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
I20190319000842 IA Practitioner - Nurse Practitioner 4486905924 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1940 Blairs Ferry Rd
Suite 104
Hiawatha, IA 52233-2076
Phone (319) 393-0178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Finley Hospital CurrentSince Feb 1, 2019 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
The Finley Hospital Family CurrentSince Feb 1, 2019 Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Mar 1, 2021 Accepting new patients

Locations

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

610 2nd Ave NE
Cascade, IA 52033
Phone (563) 852-5050

153 Collins Rd NE
Cedar Rapids, IA 52402
Phone (319) 826-2972

1500 Delhi St
Ste 4300
Dubuque, IA 52001
Phone (563) 557-5971

2255 John F Kennedy Rd
Ste 150
Dubuque, IA 52002
Phone (563) 589-4960

1940 Blairs Ferry Rd
Ste 104
Hiawatha, IA 52233
Phone (319) 393-0178

Interoperability endpoints

  • Direct secure messaging: kgudenkauf669272@direct.unitypoint.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1396222048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 JOHN F KENNEDY RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022846",
            "telephone_number": "563-589-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 JOHN F KENNEDY RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022846",
            "telephone_number": "563-589-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDENKAUF",
        "first_name": "KATIE",
        "name_prefix": "Mrs.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "8528-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.