Individual provider Active NPI

Emily Swartley, PMHNP - BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Waterloo, IA
National Provider Identifier
1417523192
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G163681 Issued in IA
Practice address
3251 W 9TH St
Waterloo, IA 50702-5310
Phone
(319) 234-2893
NPI assigned
Jun 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 096159 IA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G163681 IA Primary

Addresses

Primary practice location

3251 W 9TH St
Waterloo, IA 50702-5310

Mailing address

3251 W 9TH St
Waterloo, IA 50702-5310
Phone (319) 234-2893

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
I20210712002625 IA Practitioner - Nurse Practitioner 8820490972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Black Hawk-Grundy Mental Health Center IncGroup PAC ID 1850280363, 21 clinicians

Practice addresses (Care Compare)

3251 W 9TH St
Waterloo, IA 50702-5310
Phone (319) 234-2893

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
096159IAMDRegistered Nurse
G163681IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Black Hawk-Grundy Mental Health Center Inc. CurrentSince Aug 2, 2021 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

3251 W 9th St
Waterloo, IA 50702
Phone (319) 234-2893

Interoperability endpoints

  • Direct secure messaging: eswartley156607@direct.unitypoint.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1417523192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 W 9TH ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025310",
            "telephone_number": "319-234-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 W 9TH ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025310",
            "telephone_number": "319-234-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWARTLEY",
        "first_name": "EMILY",
        "credential": "PMHNP - BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "096159",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G163681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.