Individual provider Active NPI

Wendalee K. Smith, ARNP

  • Nurse Practitioner
  • Waterloo, IA
National Provider Identifier
1528219680
Registry record updated Oct 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A107822 Issued in IA
Practice address
1825 Logan Ave
Emergency Department
Waterloo, IA 50703-1916
Phone
(319) 235-3697
Fax
(319) 235-3844
NPI assigned
Oct 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A107822 IA Primary

Addresses

Primary practice location

1825 Logan Ave
Emergency Department
Waterloo, IA 50703-1916

Mailing address

1825 Logan Ave
Emergency Department
Waterloo, IA 50703-1916
Phone (319) 235-3697

Other identifiers 1

IdentifierTypeStateIssuer
1528219680MedicaidIA

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
I20090114000387 IA Practitioner - Nurse Practitioner 7113080391 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.79 of 100Reported as group
Quality
89.26
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
50.17 of 100Reported as apm
Quality
55.61
Promoting interoperability
0
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A107822IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grundy County Memorial Hospital CurrentSince Jul 1, 2016 Accepting new patients
Allen Memorial Hospital Corporation Current Accepting new patients
Iowa Emergency Physicians LLP Nurse Practitioner CurrentSince Mar 20, 2018 Accepting new patients
Iowa Emergency Physicians LLP Nurse Practitioner CurrentSince Mar 20, 2018 Accepting new patients
Grundy County Memorial Hospital Current Accepting new patients
People'S Memorial Hospital CurrentSince Dec 1, 2015 Accepting new patients
Grundy County Memorial Hospital CurrentSince Jul 1, 2016 Accepting new patients
Allen Memorial Hospital Corporation Nurse Practitioner CurrentSince Oct 8, 2008 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Waterloo Emergency Physicians, LLC CurrentSince Oct 15, 2024 Accepting new patients
People'S Memorial Hospital CurrentSince Dec 1, 2015 Accepting new patients

Locations

1026 A Ave NE
Cedar Rapids, IA 52402
Phone (319) 369-5970

201 E J Ave
Grundy Center, IA 50638
Phone (319) 824-5081

1600 1st St E
Independence, IA 50644
Phone (319) 332-0999

1100 1st St E
Independence, IA 50644
Phone (319) 334-2541

1600 Morgan St
Keokuk, IA 52632
Phone (319) 524-7150

3301 Armar Dr
Marion, IA 52302
Phone (319) 451-2700

3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

Interoperability endpoints

  • Direct secure messaging: wsmith108446@direct.unitypoint.org

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256947200000",
    "number": "1528219680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 LOGAN AVE",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507031916",
            "telephone_number": "319-235-3697",
            "fax_number": "319-235-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 LOGAN AVE",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507031916",
            "telephone_number": "319-235-3697",
            "fax_number": "319-235-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WENDALEE",
        "middle_name": "K.",
        "name_prefix": "Miss",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2009-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A107822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528219680",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.