NPIMap

Individual provider Active NPI

Kathleen E Haverkamp, MD

  • Family Medicine Physician
  • Iowa Falls, IA
National Provider Identifier
1437168069
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31982 Issued in IA
Practice address
920 South Oak Street
Suite 1
Iowa Falls, IA 50126-9506
Phone
(641) 648-7100
Fax
(641) 648-7095
NPI assigned
Aug 5, 2006
Last updated
Jul 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31982 IA Primary

Addresses

Primary practice location

920 South Oak Street
Suite 1
Iowa Falls, IA 50126-9506

Mailing address

920 South Oak Street
Suite 1
Iowa Falls, IA 50126-9506
Phone (641) 648-7100

Other identifiers 1

IdentifierTypeStateIssuer
5155077MedicaidIA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KathleenHaverkamp@elmhn.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050908001162 IA Practitioner - Family Practice 8527090653 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ellsworth Municipal HospitalGroup PAC ID 2668366311, 16 clinicians

Practice addresses (Care Compare)

920 S Oak St
Iowa Falls, IA 50126-9506

920 S Oak St
Iowa Falls, IA 50126-9507

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31982IAMDFamily Medicine Physician
31962IAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ellsworth Municipal Hospital CurrentSince Jul 22, 2005 Accepting new patients
Floyd County Memorial Hospital Commission Family Medicine Past Accepting new patients

Locations

1000 10th Ave
Ackley, IA 50601
Phone (641) 648-7107

920 S Oak St
Iowa Falls, IA 50126
Phone (641) 648-4631

920 S Oak St
Ste 1
Iowa Falls, IA 50126
Phone (641) 648-4233

Interoperability endpoints

  • Direct secure messaging: kathleenhaverkamp@elmhn.cernerdirect.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Scenic ManorIowa Falls, IA, CCN 165472 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Mar 24, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 5

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1437168069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 SOUTH OAK STREET",
            "address_2": "SUITE 1",
            "city": "IOWA FALLS",
            "state": "IA",
            "postal_code": "501269506",
            "telephone_number": "641-648-7100",
            "fax_number": "641-648-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 SOUTH OAK STREET",
            "address_2": "SUITE 1",
            "city": "IOWA FALLS",
            "state": "IA",
            "postal_code": "501269506",
            "telephone_number": "641-648-7100",
            "fax_number": "641-648-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVERKAMP",
        "first_name": "KATHLEEN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "31982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5155077",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KathleenHaverkamp@elmhn.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "MercyOne North Iowa Direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "920 SOUTH OAK STREET",
            "address_2": "SUITE 1",
            "city": "Iowa Falls",
            "state": "IA",
            "country_code": "US",
            "postal_code": "501269506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Iowa Falls, IA

Sources for this page

Verify at the official NPI Registry.