Active NPI
Ryan Gerald Buetow, NP
- Nurse Practitioner
- Council Bluffs, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- A149773
- Practice address
- 933 E Pierce St
Council Bluffs, IA 51503-4626 - Phone
- (712) 396-4360
- Fax
- (712) 396-7069
- NPI assigned
- Jul 11, 2013
- Last updated
- May 31, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A149773 | IA | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
933 E Pierce St
Methodist Jennie Edmundson
Council Bluffs, IA 51503-4626
Phone (712) 396-7495
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A149773 | IA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Father Flanagan's Boys' Home | Pediatrics | Current | Accepting new patients |
| Nebraska Methodist Hospital | Current | Accepting new patients | |
| Physicians Clinic Inc | Nurse Practitioner | Current | Accepting new patients |
| ENT Services PC | Nurse Practitioner | Past | Accepting new patients |
Locations
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
800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660
933 E Pierce St
Council Bluffs, IA 51503
Phone (712) 328-6000
14040 Boys Town Hospital Rd
Ste 200
Boys Town, NE 68010
Phone (531) 355-6800
14080 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6900
16901 Lakeside Hills Ct
Omaha, NE 68130
Phone (402) 572-6500
6901 N 72nd St
Omaha, NE 68122
Phone (402) 572-2121
7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880
8200 Dodge St
Omaha, NE 68114
Phone (402) 955-4350
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
- ryan.buetow@direct.nmhs.org
Organizations & group practices 4
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.
-
dba Methodist Physicians Clinic
- Family Medicine Physician
- Omaha, NE
- NPI 1821049156
IA, Nurse Practitioner
-
dba Boys Town Professional Services
- Pediatrics Physician
- Omaha, NE
- NPI 1295821825
-
dba Methodist Hospital
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Methodist Jennie Edmundson
- General Acute Care Hospital
- Council Bluffs, IA
- NPI 1457448755
-
- Critical Access Hospital
- Red Oak, IA
- NPI 1376539338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1487095055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "933 E PIERCE ST",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515034626",
"telephone_number": "123-964-3607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "933 E PIERCE ST",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515034626",
"telephone_number": "712-396-4360",
"fax_number": "712-396-7069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUETOW",
"first_name": "RYAN",
"middle_name": "GERALD",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-11",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "A149773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.