Active NPI
Michelle Jo Pearson, FNP
- Family Nurse Practitioner
- Fort Dodge, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A098568
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| A098568 | IA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Specialty Hospital-Clarion | Current | Accepting new patients | |
| Belmond Community Hospital | Current | 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
- 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.
-
- Critical Access Hospital
- Clarion, IA
- NPI 1396760153
-
- Family Medicine Physician
- Belmond, IA
- NPI 1821122623
-
- Critical Access Hospital
- Clarion, IA
- NPI 1225053085
-
- Critical Access Hospital
- Boone, IA
- NPI 1467434225
-
- Public Health or Welfare Agency
- Fort Dodge, IA
- NPI 1518384122
-
- Home Health Agency
- Fort Dodge, IA
- NPI 1730177346
-
- Medicare Defined Swing Bed Hospital Unit
- Clarion, IA
- NPI 1417993536
-
- Obstetrics & Gynecology Physician
- Des Moines, IA
- NPI 1508741505
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Clarion, IA
- NPI 1821045451
-
- General Acute Care Hospital
- Fort Dodge, IA
- NPI 1487759858
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.