Individual provider Active NPI

Stephanie Gudenkauf, NP

  • Family Nurse Practitioner
  • Manchester, IA
National Provider Identifier
1659800480
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06170003 Issued in IA
Practice address
709 W Main St
Manchester, IA 52057-1526
Phone
(563) 927-7777
NPI assigned
Jun 6, 2017
Last updated
Jul 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F06170003 IA Primary

Addresses

Primary practice location

709 W Main St
Manchester, IA 52057-1526

Mailing address

PO Box 359
Manchester, IA 52057-0359

Other practice location 1

702 W Union St
Edgewood, IA 52042-8187
Phone (563) 928-7191

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rmc.sgudenkauf@rmc.cernerdirect.com Direct

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
I20170726004234 IA Practitioner - Nurse Practitioner 5597035345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

709 W Main St
Manchester, IA 52057-1526

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F06170003IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware County Memorial Hospital CurrentSince Jul 6, 2017 Accepting new patients
Delaware County Memorial Hospital CurrentSince Jul 6, 2017 Accepting new patients
Delaware County Memorial Hospital Current Accepting new patients
Delaware County Memorial Hospital Past Accepting new patients
Delaware County Memorial Hospital Past Accepting new patients

Locations

709 W Main St
Manchester, IA 52057
Phone (563) 927-3232

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8fdd186f-a014-47f3-8c9e-d61f95a9a6ea/
  • Direct secure messaging: rmc.sgudenkauf@rmc.cernerdirect.com

Organizations & group practices 5

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 3

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": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1659800480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 359",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520570359"
        },
        {
            "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": [
        {
            "address_1": "702 W Union St",
            "address_purpose": "LOCATION",
            "city": "Edgewood",
            "state": "IA",
            "postal_code": "520428187",
            "country_code": "US",
            "telephone_number": "563-928-7191",
            "fax_number": "563-928-7090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUDENKAUF",
        "first_name": "STEPHANIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "F06170003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmc.sgudenkauf@rmc.cernerdirect.com",
            "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": []
}

Other providers in Manchester, IA

Sources for this page

Verify at the official NPI Registry.