Katherine Therese Gansen, ARNP, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A-112756 Issued in IA

Practice address

709 W Main St
Manchester, IA 52057-1526

Phone

(563) 927-7777

Fax

(563) 583-3760

NPI assigned

Sep 3, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Statera LLCGroup PAC ID 3476950056, 5 clinicians

Horizon Mental Health Management LLCGroup PAC ID 5799674131, 9 clinicians

Delaware County Memorial HospitalGroup PAC ID 2062316375, 80 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Regional Medical Center Hospital, Manchester, IA, CCN 161343

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/8fdd186f-a014-47f3-8c9e-d61f95a9a6ea/
• Direct secure messaging: katherine.gansen.1@17282.direct.athenahealth.com

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.

• Delaware County Memorial Hospital

  • Critical Access Hospital
  • Manchester, IA
  • NPI 1750354676

  IA

  Medicare reassignment Care Compare group NPD
• Delaware County Memorial Hospital

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manchester, IA
  • NPI 1982667929

  IA

  Medicare reassignment Care Compare group NPD
• Statera LLC

  • Primary Care Clinic/Center
  • Dubuque, IA
  • NPI 1689172751

  IA

  Medicare reassignment Care Compare group NPD
• Horizon Mental Health Management LLC

  • Psychiatry Physician
  • Lewisville, TX
  • NPI 1255380176

  IA

  Medicare reassignment Care Compare group NPD
• Delaware County Memorial Hospital

  • Rural Health Clinic/Center
  • Dyersville, IA
  • NPI 1689264756
  Care Compare group NPD
• Delaware County Memorial Hospital

  • Home Health Agency
  • Manchester, IA
  • NPI 1063475127
  Care Compare group NPD (past)
• Delaware County Memorial Hospital

  • Rural Health Clinic/Center
  • Winthrop, IA
  • NPI 1154474609
  Care Compare group
• Delaware County Memorial Hospital

  • Public Health or Welfare Agency
  • Manchester, IA
  • NPI 1356726475
  Care Compare group
• Delaware County Memorial Hospital

  • Rural Health Clinic/Center
  • Hopkinton, IA
  • NPI 1497824353
  Care Compare group
• Delaware County Memorial Hospital

  • Rural Health Clinic/Center
  • Manchester, IA
  • NPI 1699707257
  Care Compare group
• Delaware County Memorial Hospital

  • Family Medicine Physician
  • Strawberry Point, IA
  • NPI 1811039886
  Care Compare group
• Delaware County Memorial Hospital

  • Rural Health Clinic/Center
  • Edgewood, IA
  • NPI 1871662163
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Delaware County Memorial Hospital

  • Critical Access Hospital
  • Manchester, IA
  • NPI 1750354676

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1609024652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 W MAIN ST",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520571526",
            "telephone_number": "563-927-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 W MAIN ST",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520571526",
            "telephone_number": "563-927-7777",
            "fax_number": "563-583-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANSEN",
        "first_name": "KATHERINE",
        "middle_name": "THERESE",
        "name_prefix": "Mrs.",
        "credential": "ARNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A-112756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katherine.gansen@regmedctr.org",
            "affiliation": "N",
            "endpointDescription": "Regional Medical Center Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "709 W Main St",
            "city": "Manchester",
            "state": "IA",
            "country_code": "US",
            "postal_code": "520571526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Full Circle Physical Therapy, LLC
• Mary Funke, LISW
• Dawn M Gaffney, DDS
• Shelby Gaylor, CRNA
• Timothy P Gerst, M.D.
• Darrell Ginsberg, D.M.D.
• Gordon F Goettsch, DDS
• Good Neighbor Society

• All providers in Manchester, IA
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.