Individual provider Active NPI

Paige Reed, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Newton, IA
National Provider Identifier
1417679168
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G171286 Issued in IA
Practice address
1123 1St Ave E Ste 200
Newton, IA 50208-3981
Phone
(641) 792-4012
NPI assigned
Sep 19, 2022
Last updated
Oct 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G171286 IA Primary
Registered Nurse 163W00000X 152156 IA

Addresses

Primary practice location

1123 1St Ave E Ste 200
Newton, IA 50208-3981

Mailing address

1123 1St Ave E Ste 200
Newton, IA 50208-3981
Phone (641) 792-4012

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
I20221212002954 IA Practitioner - Nurse Practitioner 7113396201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capstone Behavioral Healthcare IncGroup PAC ID 0648169573, 13 clinicians

Practice addresses (Care Compare)

1123 1St Ave E
Suite 200
Newton, IA 50208-3981
Phone (641) 792-4012

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
152156IAMDRegistered Nurse
G171286IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capstone Behavioral Healthcare, Inc CurrentSince Nov 9, 2022 Accepting new patients
Poweshiek County Mental Health Center PastSince Nov 9, 2022 Accepting new patients

Locations

200 4th Ave W
Grinnell, IA 50112
Phone (641) 236-6137

1123 1st Ave E
Ste 200
Newton, IA 50208
Phone (641) 792-4012

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1417679168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 1ST AVE E STE 200",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083981",
            "telephone_number": "641-792-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 1ST AVE E STE 200",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083981",
            "telephone_number": "641-792-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "PAIGE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G171286",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "152156",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, IA

Sources for this page

Verify at the official NPI Registry.