NPIMap

Organization Active NPI

Hillcrest Family Services

  • Primary Care Clinic/Center
  • Dubuque, IA
National Provider Identifier
1497354773
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HILLCREST FAMILY SERVICES
Practice address
2005 Asbury Rd
Dubuque, IA 52001-3042
Phone
(563) 583-7357
NPI assigned
Oct 19, 2020
Last updated
Jan 5, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
HILLCREST FAMILY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Authorized official

Name
Francie Tuescher
Title
Chief Compliance Officer
Phone
(563) 583-7357

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Primary Care Clinic/Center 261QP2300X NU Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU

Addresses

Primary practice location

2005 Asbury Rd
Dubuque, IA 52001-3042

Mailing address

2005 Asbury Rd
Dubuque, IA 52001-3042
Phone (563) 583-7357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031112000709 IA Part B Supplier - Clinic/Group Practice 1557274743 Receives reassigned benefits from 20 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dubuque, IA; Maquoketa, IA; Mt Pleasant, IA; Wapello, IA; Washington, IA

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Kristine M Staheli Jackson

Locations

220 W 7th St
Dubuque, IA 52001
Phone (563) 583-6431

818 W 1st St
Ste 100
Monticello, IA 52310
Phone (319) 844-1119

13011 120th Ave
Ottumwa, IA 52501
Phone (641) 684-6692

2175 Lexington Blvd
Bldg 2
Washington, IA 52353
Phone (319) 653-6161

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1497354773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 ASBURY RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520013042",
            "telephone_number": "563-583-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 ASBURY RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520013042",
            "telephone_number": "563-583-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST FAMILY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HILLCREST FAMILY SERVICES",
        "enumeration_date": "2020-10-19",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "TUESCHER",
        "authorized_official_first_name": "FRANCIE",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "563-583-7357"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.