Individual provider Active NPI

Christina Jayne Kramer, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rockwell City, IA
National Provider Identifier
1457048977
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G174011 Issued in IA
Practice address
401 Court St
Rockwell City, IA 50579-1416
Phone
(712) 297-2026
Fax
(712) 297-2019
NPI assigned
Apr 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G174011 IA Primary

Addresses

Primary practice location

401 Court St
Rockwell City, IA 50579-1416

Mailing address

401 Court St
Rockwell City, IA 50579-1416
Phone (712) 297-2026

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
I20230518001012 IA Practitioner - Nurse Practitioner 5991161846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nick Hildreth Memorial Clinic LLCGroup PAC ID 6204144827, 2 clinicians

Practice addresses (Care Compare)

401 Court St
Rockwell City, IA 50579-1416
Phone (712) 297-2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G174011IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fistler Chiropractic LLC CurrentSince Apr 30, 2023 Accepting new patients
Nick Hildreth Memorial Clinic LLC Psychiatric/Mental Health CurrentSince Jun 1, 2023 Accepting new patients

Locations

401 Court St
Rockwell City, IA 50579
Phone (712) 297-2026

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1457048977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COURT ST",
            "city": "ROCKWELL CITY",
            "state": "IA",
            "postal_code": "505791416",
            "telephone_number": "712-297-2026",
            "fax_number": "712-297-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 COURT ST",
            "city": "ROCKWELL CITY",
            "state": "IA",
            "postal_code": "505791416",
            "telephone_number": "712-297-2026",
            "fax_number": "712-297-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "CHRISTINA",
        "middle_name": "JAYNE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G174011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwell City, IA

Sources for this page

Verify at the official NPI Registry.