Nathan Charles Shumway, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PDT-559 Issued in CO

Practice address

320 McKenzie Ave Ste 102
Council Bluffs, IA 51503

Phone

(712) 328-0297

Fax

(712) 328-2403

NPI assigned

Jun 22, 2016

Last updated

Jun 13, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA, NE2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clarinda Regional Health CenterGroup PAC ID 4587573993, shared by 5 NPIs, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Clarinda Regional Health Center Hospital, Clarinda, IA, CCN 161352
• Pender Community Hospital Hospital, Pender, NE, CCN 281349
• George C Grape Community Hospital Hospital, Hamburg, IA, CCN 161324
• Memorial Community Hospital & Health System Hospital, Blair, NE, CCN 281359

Merit-based Incentive Payment System (MIPS)

Final score

67.97 of 100Reported as apm

Quality

34.29

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Clarinda Regional Health Center

  • Critical Access Hospital
  • Clarinda, IA
  • NPI 1366486946
  Medicare reassignment NPD
• Clarinda Regional Health Center

  dba Clarinda Medical Associates

  • Family Medicine Physician
  • Clarinda, IA
  • NPI 1629196241

  NE

  Medicare reassignment NPD
• Memorial Community Hospital Corporation

  • Critical Access Hospital
  • Blair, NE
  • NPI 1265408819
  Medicare reassignment NPD
• Community Hospital Inc

  • Emergency Medicine Physician
  • Hamburg, IA
  • NPI 1124112677
  Medicare reassignment
• Community Hospital Inc

  dba George C. Grape Community Hospital

  • Critical Access Hospital
  • Hamburg, IA
  • NPI 1932294071
  Medicare reassignment
• Memorial Community Hospital Corporation

  dba Cottonwood Clinic

  • Clinic/Center
  • Tekamah, NE
  • NPI 1437281623
  NPD
• Edward N Prikaszczikow

  dba Council Bluffs Foot & Ankle Center

  • Podiatrist
  • Council Bluffs, IA
  • NPI 1467635318
  NPD (past)

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

• Clarinda Regional Health Center

  • Critical Access Hospital
  • Clarinda, IA
  • NPI 1366486946
  Care Compare affiliation
• Community Hospital Inc

  dba George C. Grape Community Hospital

  • Critical Access Hospital
  • Hamburg, IA
  • NPI 1932294071
  Care Compare affiliation
• Memorial Community Hospital Corporation

  • Critical Access Hospital
  • Blair, NE
  • NPI 1265408819
  Care Compare affiliation
• Pender Community Hospital District

  dba Pender Community Health

  • Critical Access Hospital
  • Pender, NE
  • NPI 1578627196
  Care Compare affiliation

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1629429451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 MCKENZIE AVE STE 102",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515031002",
            "telephone_number": "712-328-0297",
            "fax_number": "712-328-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MCKENZIE AVE STE 102",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "51503",
            "telephone_number": "712-328-0297",
            "fax_number": "712-328-2403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "278 W Mutton Hollow Rd",
            "address_purpose": "LOCATION",
            "city": "Kaysville",
            "state": "UT",
            "postal_code": "840371118",
            "country_code": "US",
            "telephone_number": "801-717-0339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUMWAY",
        "first_name": "NATHAN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-22",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "PDT-559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Foot & Ankle Surgery Podiatrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.