Individual provider Active NPI

Shelli L Grapp, ARNP

  • Nurse Practitioner
  • Cedar Rapids, IA
National Provider Identifier
1437381290
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A-098544 Issued in IA
Practice address
600 7TH St SE
Medical Staff Office
Cedar Rapids, IA 52401-2112
Phone
(319) 423-7200
Fax
(319) 247-0011
NPI assigned
Aug 12, 2009
Last updated
Jun 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A-098544 IA Primary

Addresses

Primary practice location

600 7TH St SE
Medical Staff Office
Cedar Rapids, IA 52401-2112

Mailing address

600 7TH St SE
Medical Staff Office
Cedar Rapids, IA 52401-2112
Phone (319) 423-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091027000644 IA Practitioner - Nurse Practitioner 5698812451 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A-098544IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Emergency Physicians LLP Nurse Practitioner Current Accepting new patients
Iowa Emergency Physicians LLP Nurse Practitioner CurrentSince Feb 7, 2022 Accepting new patients
Mercy Health Services-Iowa Corp Past Accepting new patients

Locations

3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050

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, 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": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1437381290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 7TH ST SE",
            "address_2": "MEDICAL STAFF OFFICE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524012112",
            "telephone_number": "319-423-7200",
            "fax_number": "319-247-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 7TH ST SE",
            "address_2": "MEDICAL STAFF OFFICE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524012112",
            "telephone_number": "319-423-7200",
            "fax_number": "319-247-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAPP",
        "first_name": "SHELLI",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-12",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A-098544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.