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
Hospital & facility affiliations 2
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
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
- Montgomery County Memorial Hospital
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Clinic Inc | Nurse Practitioner | Current |
Accepting new patients |
| Father Flanagan'S Boys' Home | Pediatrics | Current |
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
- ryan.buetow@direct.nmhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Mikayla Brown
- Rosa Brown
- Zachary Dylan Brown
- Bridget L Buck
- Kelly Buckman
- Brianne Buge
- Phuong Cat Bui
- Shalenna F Burgess
- Alexandria Gabrellia Burk
- Kenneth D Burkhart
All providers in Council Bluffs, IA · Nurse Practitioner in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.