Ryan Gerald Buetow, NP

Individual provider Active NPI Nurse Practitioner · Council Bluffs, IA

NPI 1487095055 · NPPES record last updated May 31, 2023

Key facts

NPI
1487095055
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
A149773 (IA)
Practice address
933 E Pierce St
Council Bluffs, IA 51503-4626
Phone
(712) 396-4360
Fax
(712) 396-7069
NPI assigned
Jul 11, 2013
Sex
Male
Sole proprietor
No

Organizations & group practices 8

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Clinic Inc (557 clinicians)

Practice addresses (Care Compare)

933 E Pierce St
Methodist Jennie Edmundson
Council Bluffs, IA 51503-4626
Phone (712) 396-7495

Hospital & facility affiliations

  • Methodist Jennie Edmundson Hospital · Council Bluffs, IA · CCN 160047
  • Montgomery County Memorial Hospital Hospital · Red Oak, IA · CCN 161363

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in NE, IA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20171113003341 NE Practitioner - Nurse Practitioner 5294091971 Reassigns benefits to 1 organization
I20180315002280 IA Practitioner - Nurse Practitioner 5294091971 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Clinic Inc Nurse Practitioner Current
since Jul 15, 2023
Accepting new patients
Father Flanagan'S Boys' Home Pediatrics Current
since Jul 3, 2019
Accepting new patients
Nebraska Methodist Hospital Current Accepting new patients
ENT Services PC Nurse Practitioner Past Accepting new patients

Locations

933 E Pierce St
Council Bluffs, IA 51503
Phone (712) 328-6000

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

1 Edmundson Pl
Council Bluffs, IA 51503
Phone (712) 396-4000

1 Edmundson Pl
Ste 310
Council Bluffs, IA 51503
Phone (712) 328-1801

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

14080 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6900

14040 Boys Town Hospital Rd
Ste 200
Boys Town, NE 68010
Phone (531) 355-6800

8200 Dodge St
Omaha, NE 68114
Phone (402) 955-4350

7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880

6901 N 72nd St
Omaha, NE 68122
Phone (402) 572-2121

16901 Lakeside Hills Ct
Omaha, NE 68130
Phone (402) 572-6500

825 S 169th St
Fl 3
Omaha, NE 68118
Phone (402) 354-5451

11111 S 84th St
Papillion, NE 68046
Phone (402) 593-3000

Interoperability endpoints

  • Direct secure messaging: ryan.buetow@direct.nmhs.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A149773 IA Yes

Addresses

Primary practice location

933 E Pierce St
Council Bluffs, IA 51503-4626

Mailing address

933 E Pierce St
Council Bluffs, IA 51503-4626
Phone (123) 964-3607

Other providers in Council Bluffs, IA

All providers in Council Bluffs, IA · Nurse Practitioner in Iowa

Sources for this page

Verify at the official NPI Registry.