Individual provider Active NPI

Spencer Kay Kleitsch, ARNP

  • Nurse Practitioner
  • Waterloo, IA
National Provider Identifier
1568870566
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A130599 Issued in IA
Practice address
1753 W Ridgeway Ave Ste 111
Waterloo, IA 50701-4588
Phone
(319) 833-5970
Fax
(319) 833-5971
NPI assigned
Jul 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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 A130599 IA Primary

Addresses

Primary practice location

1753 W Ridgeway Ave Ste 111
Waterloo, IA 50701-4588

Mailing address

PO Box 148
Sumner, IA 50674-0148
Phone (563) 578-3275

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
I20141212001747 IA Practitioner - Nurse Practitioner 7315269727 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Practice addresses (Care Compare)

1731 W Ridgeway Ave
Waterloo, IA 50701-4591

1753 W Ridgeway Ave
Waterloo, IA 50701-4588
Phone (319) 833-6080

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

4480 Utica Ridge Rd
Suite 160
Bettendorf, IA 52722-1637
Phone (563) 742-5950

Hospital & facility affiliations

  • Allen Hospital Hospital, Waterloo, IA, CCN 160110
  • Mercyone Waterloo Medical Center Hospital, Waterloo, IA, CCN 160067

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Emergency Physicians LLP Nurse Practitioner CurrentSince Apr 1, 2015 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Sumner Community Club Nurse Practitioner CurrentSince Apr 1, 2016 Accepting new patients
Sumner Community Club Current Accepting new patients
Sumner Community Club Nurse Practitioner CurrentSince Apr 1, 2016 Accepting new patients
Waverly Health Center Current Accepting new patients
Iowa Emergency Physicians LLP Nurse Practitioner CurrentSince Apr 1, 2015 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

115 Schult Ridge Rd
Fredericksburg, IA 50630
Phone (515) 778-8164

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

909 W 1st St
Sumner, IA 50674
Phone (563) 578-3275

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

312 9th St SW
Waverly, IA 50677
Phone (319) 352-4120

Interoperability endpoints

  • Direct secure messaging: skleitsch214948@direct.unitypoint.org

Organizations & group practices 9

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": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1568870566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "SUMNER",
            "state": "IA",
            "postal_code": "506740148",
            "telephone_number": "563-578-3275",
            "fax_number": "563-578-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1753 W RIDGEWAY AVE STE 111",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014588",
            "telephone_number": "319-833-5970",
            "fax_number": "319-833-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEITSCH",
        "first_name": "SPENCER",
        "middle_name": "KAY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-23",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A130599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.