Individual provider Active NPI

Michelle Jo Pearson, FNP

  • Family Nurse Practitioner
  • Fort Dodge, IA
National Provider Identifier
1497290670
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A098568 Issued in IA
Practice address
2700 1St Ave S Ste 100
Fort Dodge, IA 50501-4300
Phone
(515) 955-6767
Fax
(515) 576-8581
NPI assigned
Dec 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A098568 IA Primary

Addresses

Primary practice location

2700 1St Ave S Ste 100
Fort Dodge, IA 50501-4300

Mailing address

1316 S Main St
Clarion, IA 50525-2019
Phone (515) 532-2811

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
I20170822000289 IA Practitioner - Nurse Practitioner 7618249996 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Specialty Hospital- ClarionGroup PAC ID 3375451347, 94 clinicians

Practice addresses (Care Compare)

215 13TH Ave SW
Clarion Clinic
Clarion, IA 50525-2078
Phone (515) 532-2838

2700 1St Ave S
Suite 100
Fort Dodge, IA 50501-4300
Phone (515) 955-6767

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A098568IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Specialty Hospital-Clarion CurrentSince Dec 9, 2019 Accepting new patients
Belmond Community Hospital CurrentSince Dec 9, 2019 Accepting new patients
County of Webster Past Accepting new patients
Mercy Clinics, Inc. Past Accepting new patients
Boone County Hospital Past Accepting new patients
County of Webster Past Accepting new patients
Iowa Specialty Hospital- Clarion Past Accepting new patients

Locations

403 1st St SE
Belmond, IA 50421
Phone (641) 444-3223

1316 S Main St
Clarion, IA 50525
Phone (515) 532-2811

215 13th Ave SW
Clarion, IA 50525
Phone (515) 532-2836

2700 1st Ave S
Ste 100
Fort Dodge, IA 50501
Phone (515) 955-6767

Interoperability endpoints

  • Direct secure messaging: mpearson172009@uihcdirect.org

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1497290670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 S MAIN ST",
            "city": "CLARION",
            "state": "IA",
            "postal_code": "505252019",
            "telephone_number": "515-532-2811",
            "fax_number": "319-343-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 1ST AVE S STE 100",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014300",
            "telephone_number": "515-955-6767",
            "fax_number": "515-576-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "MICHELLE",
        "middle_name": "JO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-27",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A098568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

Verify at the official NPI Registry.