Cailey Anderson, ARNP
Individual provider Active NPI Gerontology Nurse Practitioner · Cedar Rapids, IA
NPI 1679050652 · NPPES record last updated Jun 24, 2020
Key facts
- NPI
- 1679050652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- H136208 (IA)
- Practice address
- 701 10TH St SE
Cedar Rapids, IA 52403-1292 - Phone
- (319) 213-3357
- NPI assigned
- Jul 23, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Medical Center
Practice addresses (Care Compare)
701 10TH St SE
Cedar Rapids, IA 52403-1251
Phone (319) 398-6011
Hospital & facility affiliations
- Mercy Home Care
- Centerwell Home Health
- Suncrest Hospice
- Hospice of Mercy
- Essence of Life Hospice
- Mercy Medical Center - Cedar Rapids
- St Lukes Hospital
- Meth-Wick Health Center
- Rehabilitation Center of Lisbon
- The Gardens Of Cedar Rapids
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181023003696 | IA | Practitioner - Nurse Practitioner | 8628321577 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H136208 | IA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Medical Center | Current |
Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Mercy Medical Center | Current |
Accepting new patients |
Locations
701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011
2740 1st Ave NE
Cedar Rapids, IA 52402
Phone (319) 398-6034
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | H136208 | IA | Yes |
Addresses
Primary practice location
701 10TH St SE
Cedar Rapids, IA 52403-1292
Mailing address
2165 Fieldcrest LN
Ely, IA 52227-9594
Other providers in Cedar Rapids, IA
- Sudha Anand
- Antony Anandaraj Anandaraj
- Anchored Attunement, LLC
- Keegan Andersen
- Bryan John Anderson
- Dana Suzette Anderson
- Karl Anderson
- Laura Lisa Anderson
- Marcy Anderson
- Paul Ryan Anderson
All providers in Cedar Rapids, IA · Gerontology Nurse Practitioner in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.