Individual provider Active NPI

Lindsay R. Vogel, A.R.N.P.

  • Gerontology Nurse Practitioner
  • Waterloo, IA
National Provider Identifier
1477815769
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
J111205 Issued in IA
Practice address
1717 W Ridgeway Ave
Waterloo, IA 50701-4543
Phone
(319) 833-5830
Fax
(319) 833-5831
NPI assigned
Jun 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X J111205 IA Primary

Addresses

Primary practice location

1717 W Ridgeway Ave
Waterloo, IA 50701-4543

Mailing address

1717 W Ridgeway Ave
Waterloo, IA 50701-4543
Phone (319) 833-5830

Other identifiers 1

IdentifierTypeStateIssuer
1477815769MedicaidIA

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
I20120731000851 IA Practitioner - Nurse Practitioner 3072779321 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
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

Hospital & facility affiliations

  • Hansen Family Hospital Hospital, Iowa Falls, IA, CCN 161380
  • Hansen Family Hospital Nursing home, CCN 16Z380

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J111205IAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unitypoint Health - Marshalltown CurrentSince Aug 20, 2017 Accepting new patients
Salahuddin Syed MD PC Current Accepting new patients
Ellsworth Municipal Hospital CurrentSince Oct 31, 2022 Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Aug 20, 2017 Accepting new patients
Ellsworth Municipal Hospital CurrentSince Oct 31, 2022 Accepting new patients

Locations

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

55 Unitypoint Way
Marshalltown, IA 50158
Phone (641) 754-5145

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1477815769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 W RIDGEWAY AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014543",
            "telephone_number": "319-833-5830",
            "fax_number": "319-833-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W RIDGEWAY AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014543",
            "telephone_number": "319-833-5830",
            "fax_number": "319-833-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGEL",
        "first_name": "LINDSAY",
        "middle_name": "R.",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IA",
            "license": "J111205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477815769",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.