Individual provider Active NPI

Denisee Tish Loyola

  • Nurse Practitioner
  • Waverly, IA
National Provider Identifier
1598646531
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A186757 Issued in IA
Practice address
312 9TH St SW Ste 3400
Waverly, IA 50677-2929
Phone
(319) 236-1911
Fax
(319) 287-5832
NPI assigned
Sep 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A186757 IA Primary
Family Nurse Practitioner 363LF0000X A186757 IA

Addresses

Primary practice location

312 9TH St SW Ste 3400
Waverly, IA 50677-2929

Mailing address

PO Box 2758
Waterloo, IA 50704-2758

Other names 1

  • Denisee Tish Duran Loyola Other name

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
I20251105002112 IA Practitioner - Nurse Practitioner 9830689280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 2758
Waterloo, IA 50704

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A186757IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Valley Medical Specialists PC CurrentSince Dec 1, 2025 Accepting new patients
Cedar Valley Medical Specialists PC CurrentSince Nov 8, 2025 Accepting new patients
Cedar Valley Medical Specialists PC CurrentSince Dec 1, 2025 Accepting new patients

Locations

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

201 8th Ave SE
Oelwein, IA 50662
Phone (319) 283-4321

1753 W Ridgeway Ave
Ste 107
Waterloo, IA 50701
Phone (319) 833-5907

312 9th St SW
Ste 3400
Waverly, IA 50677
Phone (319) 483-4029

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 and National Provider Directory roles.

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": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1598646531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2758",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507042758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 9TH ST SW STE 3400",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772929",
            "telephone_number": "319-236-1911",
            "fax_number": "319-287-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOYOLA",
        "first_name": "DENISEE",
        "middle_name": "TISH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A186757",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A186757",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISEE TISH",
            "last_name": "LOYOLA",
            "middle_name": "DURAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waverly, IA

Sources for this page

Verify at the official NPI Registry.