Priority Health Northwest PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PRIORITY HEALTH NORTHWEST PLLC

Practice address

1800 Norris Place
Spencer, IA 51301-3411

Phone

(712) 580-4570

Fax

(712) 580-4573

NPI assigned

Sep 10, 2024

Organization subpart

No

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

Authorized official

Name

Peyton R Hantelman, ARNPNPI 1700504776

Title

Co-Owner

Phone

(712) 209-6642

Specialties & licenses 1

Addresses

Other names 1

• Priority Health Northwest PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peyton Hantelman, ARNP-FNP

  • Family Nurse Practitioner
  • Spencer, IA
  • NPI 1700504776
  Medicare reassignment Care Compare group NPD Authorized official
• Sue Ann Brugman, ARNP

  • Family Nurse Practitioner
  • Spencer, IA
  • NPI 1538501085
  Medicare reassignment Care Compare group NPD
• Jay Downing

  • Family Nurse Practitioner
  • Spencer, IA
  • NPI 1982088225
  Medicare reassignment Care Compare group NPD
• Maureen Reeves Horsley, ARNP

  • Family Nurse Practitioner
  • Spencer, IA
  • NPI 1366422990
  Medicare reassignment Care Compare group NPD
• Elizabeth Stokke, FNP-C

  • Family Nurse Practitioner
  • Lake Park, IA
  • NPI 1295459394
  Medicare reassignment Care Compare group NPD
• Tina Marie Vosberg, ARNP

  • Family Nurse Practitioner
  • Clarion, IA
  • NPI 1952944910
  Medicare reassignment Care Compare group NPD
• Tracy Marie Ross, ARNP

  • Family Nurse Practitioner
  • Jackson, MN
  • NPI 1982377123

  IA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1548096142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 NORRIS PL",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513013411",
            "telephone_number": "712-580-4570",
            "fax_number": "712-580-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 NORRIS PLACE",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513013411",
            "telephone_number": "712-580-4570",
            "fax_number": "712-580-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY HEALTH NORTHWEST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "HANTELMAN",
        "authorized_official_first_name": "PEYTON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "712-209-6642",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Priority Health Northwest PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalie Lynn Potrament, NP
• Jamie Lee Poulsen Schoenherr
• James Repass Power, MSW, PHD
• Premier Psychiatry, LLC
• Glenn Geoffrey Preston, M.D.
• Alexander Pruitt, MD
• Erin R Rabel, D.C.
• Rachele Randall, PA-C
• Jennifer Lynn Ransom, RD/LD
• Angus C Raymond, CADC

• Family Nurse Practitioner in Spencer, IA
• Providers in Spencer, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.

Verify at the official NPI Registry.