Individual provider Active NPI

Hayle Victoria Bockenstedt

  • Primary Care Nurse Practitioner
  • Dyersville, IA
National Provider Identifier
1417439787
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
A134146 Issued in IA
Practice address
1111 3Rd St SW
Dyersville, IA 52040-1725
Phone
(563) 875-7101
NPI assigned
Sep 4, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X A134146 IA Primary

Addresses

Primary practice location

1111 3Rd St SW
Dyersville, IA 52040-1725

Mailing address

17567 Highway 3
Strawberry Point, IA 52076-8100
Phone (563) 920-8784

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
I20181127000872 IA Practitioner - Nurse Practitioner 2860746153 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guttenberg Municipal HospitalGroup PAC ID 6901709476, 24 clinicians

Practice addresses (Care Compare)

200 Main St
Guttenberg, IA 52052-9108
Phone 56325211211361

Hospital & facility affiliations

  • Guttenberg Municipal Hospital Hospital, Guttenberg, IA, CCN 161312
  • Mercyone Elkader Medical Center Hospital, Elkader, IA, CCN 161319

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
St Luke'S Methodist Hospital Current Accepting new patients
Guttenberg Municipal Hospital CurrentSince Jul 2, 2023 Accepting new patients
Guttenberg Municipal Hospital CurrentSince Jul 2, 2023 Accepting new patients
Guttenberg Municipal Hospital Current Accepting new patients
Mercy Medical Center-Dyersville CurrentSince Oct 13, 2018 Accepting new patients
Guttenberg Municipal Hospital Current Accepting new patients
Guttenberg Municipal Hospital Past Accepting new patients
Guttenberg Municipal Hospital Past Accepting new patients

Locations

1111 3rd St SW
Dyersville, IA 52040
Phone (563) 875-2953

101 S Washington St
Edgewood, IA 52042
Phone (563) 252-1121

200 Main St
Guttenberg, IA 52052
Phone (563) 252-1121

Interoperability endpoints

  • Direct secure messaging: hbockenstedt664062@direct.unitypoint.org

Organizations & group practices 10

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 2

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": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1417439787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17567 HIGHWAY 3",
            "city": "STRAWBERRY POINT",
            "state": "IA",
            "postal_code": "520768100",
            "telephone_number": "563-920-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 3RD ST SW",
            "city": "DYERSVILLE",
            "state": "IA",
            "postal_code": "520401725",
            "telephone_number": "563-875-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCKENSTEDT",
        "first_name": "HAYLE",
        "middle_name": "VICTORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IA",
            "license": "A134146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyersville, IA

Sources for this page

Verify at the official NPI Registry.