Active NPI
Angela Renae Mollenhoff, MS
- Audiologist-Hearing Aid Fitter
- Waverly, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 741
- Practice address
- 312 9TH St SW
Waverly, IA 50677-2929 - Phone
- (319) 352-4120
- Fax
- (319) 235-5360
- NPI assigned
- Mar 23, 2006
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 424 | IA | |
| Audiologist-Hearing Aid Fitter | 237600000X | 741 | IA | Primary |
| Hearing Instrument Specialist | 237700000X | IA |
Addresses
Primary practice location
312 9TH St SW
Waverly, IA 50677-2929
Mailing address
8800 SE Sunnyside Rd
Suite 300-N
Clackamas, OR 97015-5738
Phone (281) 286-2999
Other practice location 1
516 Division St
Suite 135
Cedar Falls, IA 50613-2382
Phone (319) 238-3118
Other practice location 2
2710 Saint Francis Dr Ste 411
Waterloo, IA 50702-5634
Phone (319) 272-5081
Other practice location 3
516 Division St
Suite 135
Cedar Falls, IA 50613-2382
Phone (319) 238-3118
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IB1799005 | Other | IA | MEDICARE |
| IB1795005 | Other | IA | MEDICARE |
| IB1797005 | Other | IA | MEDICARE |
| IB1798005 | Other | IA | MEDICARE |
| IB1796005 | Other | IA | MEDICARE |
| 1148023 | Medicaid | IA | |
| IB1704005 | Other | IA | MEDICARE |
Other names 1
- Angela Renae Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
309 E Church St
Marshalltown, IA 50158-2946
Phone (641) 754-6200
8 E Spring St
Wolfe Eye Clinic
New Hampton, IA 50659-2132
Phone (641) 394-2326
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00424 | IA | MD | Mental Health Counselor |
| 424 | IA | MD | Audiologist |
| 741 | IA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riley F Uglum, OD PC | Past | Accepting new patients | |
| Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| Hearing Unlimited LLC | Hearing Instrument Specialist | Past | Accepting new patients |
Interoperability endpoints
- amollenhoff@wolfe.intellechartdirect.net
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.
-
- Ophthalmology Physician
- Marshalltown, IA
- NPI 1477532174
-
dba Black Hawk Hearing Aid Center
- Hearing Instrument Specialist
- Waterloo, IA
- NPI 1467448217
-
- Optometrist
- New Hampton, IA
- NPI 1013188564
-
dba All American Hearing
- Hearing and Speech Clinic/Center
- Sparta, IL
- NPI 1184677791
Audiologist-Hearing Aid Fitter
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1487613709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8800 SE SUNNYSIDE RD",
"address_2": "SUITE 300-N",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970155738",
"telephone_number": "281-286-2999",
"fax_number": "512-607-4893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 9TH ST SW",
"city": "WAVERLY",
"state": "IA",
"postal_code": "506772929",
"telephone_number": "319-352-4120",
"fax_number": "319-235-5360"
}
],
"practiceLocations": [
{
"address_1": "516 Division St",
"address_2": "Suite 135",
"address_purpose": "LOCATION",
"city": "Cedar Falls",
"state": "IA",
"postal_code": "506132382",
"country_code": "US",
"telephone_number": "319-238-3118",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2710 Saint Francis Dr Ste 411",
"address_purpose": "LOCATION",
"city": "Waterloo",
"state": "IA",
"postal_code": "507025634",
"country_code": "US",
"telephone_number": "319-272-5081",
"fax_number": "319-235-5360",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "516 Division St",
"address_2": "Suite 135",
"address_purpose": "LOCATION",
"city": "Cedar Falls",
"state": "IA",
"postal_code": "506132382",
"country_code": "US",
"telephone_number": "319-238-3118",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOLLENHOFF",
"first_name": "ANGELA",
"middle_name": "RENAE",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IA",
"license": "424",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "IA",
"license": "741",
"primary": true
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IA",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "IB1799005",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "IB1795005",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "IB1797005",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "IB1798005",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "IB1796005",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1148023",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "IB1704005",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "JOHNSON",
"middle_name": "RENAE",
"credential": "MS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waverly, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.