Individual provider Active NPI

Kelli Jo Pierce, ARNP

  • Nurse Practitioner
  • Waterloo, IA
National Provider Identifier
1578295408
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A169733 Issued in IA
Practice address
2710 Saint Francis Dr Ste 320
Waterloo, IA 50702-5620
Phone
(319) 272-5000
NPI assigned
Jun 29, 2022
Last updated
Jun 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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 A169733 IA Primary

Addresses

Primary practice location

2710 Saint Francis Dr Ste 320
Waterloo, IA 50702-5620

Mailing address

2710 Saint Francis Dr Ste 320
Waterloo, IA 50702-5620
Phone (319) 272-5000

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
I20220815001777 IA Practitioner - Nurse Practitioner 6204219892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 Brandilynn Blvd
Cedar Falls, IA 50613-7462

1655 E San Marnan Dr
Suite H
Waterloo, IA 50702-4378
Phone (319) 232-2281

2160 Logan Ave
Waterloo, IA 50703-1006
Phone (319) 226-5860

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A169733IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Dec 19, 2022 Accepting new patients
Trinity Medical Center Nurse Practitioner Past Accepting new patients

Locations

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

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

1000 Brandilynn Blvd
Cedar Falls, IA 50613
Phone (319) 553-0828

1704 S Center St
Marshalltown, IA 50158
Phone (641) 854-8550

1655 E San Marnan Dr
Ste H
Waterloo, IA 50702
Phone (319) 232-2281

2134 Logan Ave
Ste A
Waterloo, IA 50703
Phone (319) 226-8420

101 Cedar River Pkwy
Ste 101
Waverly, IA 50677
Phone (319) 352-1037

Interoperability endpoints

  • Direct secure messaging: kpierce825825@direct.unitypoint.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1578295408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 SAINT FRANCIS DR STE 320",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025620",
            "telephone_number": "319-272-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 SAINT FRANCIS DR STE 320",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025620",
            "telephone_number": "319-272-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "KELLI",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A169733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.