Nicolette Mabb, DNP, ARNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

G122642 Issued in IA

Practice address

709 W Main St
Manchester, IA 52057-1526

Phone

(563) 927-7777

NPI assigned

Aug 5, 2014

Last updated

May 31, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Delaware County Memorial HospitalGroup PAC ID 2062316375, shared by 11 NPIs, 80 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Still Waters Mental Health and Wellness PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • West Union, IA
  • NPI 1891433496
  Medicare reassignment NPD Authorized official
• Delaware County Memorial Hospital

  dba Regional Medical Center

  • Critical Access Hospital
  • Manchester, IA
  • NPI 1750354676
  Medicare reassignment NPD
• Delaware County Memorial Hospital

  dba Backbone Area Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manchester, IA
  • NPI 1982667929
  Medicare reassignment NPD
• Delaware County Memorial Hospital

  dba Regional Medical Center

  • Emergency Medical Services (Emergency Medicine) Physician
  • Manchester, IA
  • NPI 1326073669
  NPD
• Delaware County Memorial Hospital

  dba Regional Family Health Dyersville

  • Rural Health Clinic/Center
  • Dyersville, IA
  • NPI 1689264756
  NPD

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

• Delaware County Memorial Hospital

  dba Regional Medical Center

  • Critical Access Hospital
  • Manchester, IA
  • NPI 1750354676
  Care Compare affiliation

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1629487632",
    "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABB",
        "first_name": "NICOLETTE",
        "credential": "DNP, ARNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "6249",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G122642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicolette.mabb@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": []
}

• Catherine Anne Lilienthal, RPH
• Long Term Medical Supply Corporation
• Jena Lujan, D.C.
• Zachary Robert Lujan, D.C.
• Denise Lympus, ARNP
• Brooke Ann Mactaggart, CPNP-PC
• Manchester Dental DC
• Manchester Family Vision Center PC
• Nikolas S May, M.D.
• Sara Mae McCool, ARNP

• Psychiatric/Mental Health Nurse Practitioner in Manchester, IA
• Providers in Manchester, IA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.