NPIMap

Individual provider Active NPI

Sheila Kae Kauzlarich, ARNP

  • Nurse Practitioner
  • Ottumwa, IA
National Provider Identifier
1679081327
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A117848 Issued in IA
Practice address
1005 Pennsylvania Ave Ste 207
Ottumwa, IA 52501-6414
Phone
(641) 682-5349
Fax
(515) 246-4474
NPI assigned
Jan 16, 2018
Last updated
Jan 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A117848 IA Primary

Addresses

Primary practice location

1005 Pennsylvania Ave Ste 207
Ottumwa, IA 52501-6414

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (641) 682-5349

Other names 1

  • Sheila Kae Moorman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180418000231 IA Practitioner - Nurse Practitioner 8224391628 Reassigns benefits to 3 organizations

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
Mercy Medical Center-CentervilleGroup PAC ID 9739077652, shared by 4 NPIs, 37 clinicians

Practice addresses (Care Compare)

1 Saint Joseph Dr
Centerville, IA 52544-9017
Phone (641) 437-4111

1005 Pennsylvania Ave
Suite 207
Ottumwa, IA 52501-6414
Phone (641) 682-5349

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A117848IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center-Centerville CurrentSince Aug 25, 2019 Accepting new patients
Mercy Medical Center-Centerville Current Accepting new patients
Mercy Medical Center-Centerville CurrentSince Aug 25, 2019 Accepting new patients
Catholic Health Initiatives-Iowa Corp CurrentSince Apr 10, 2018 Accepting new patients
Catholic Health Initiatives-Iowa Corp Nurse Practitioner CurrentSince Apr 10, 2018 Accepting new patients
Iowa Heart Center PC Past Accepting new patients
Mercy Medical Center-Centerville Past Accepting new patients

Locations

1816 Philadelphia St
Ames, IA 50010
Phone (515) 232-2500

1 Saint Joseph Dr
Centerville, IA 52544
Phone (641) 437-3482

405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259

1005 Pennsylvania Ave
Ste 207
Ottumwa, IA 52501
Phone (641) 682-5349

Interoperability endpoints

  • Direct secure messaging: sheila.kauzlarich.p1@direct.iowaheart.nextgenshare.com
  • Direct secure messaging: skauzlarich3948793@direct.trinity-health.org

Organizations & group practices 7

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 5

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": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516060800000",
    "number": "1679081327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "641-682-5349",
            "fax_number": "515-246-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 PENNSYLVANIA AVE STE 207",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525016414",
            "telephone_number": "641-682-5349",
            "fax_number": "515-246-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUZLARICH",
        "first_name": "SHEILA",
        "middle_name": "KAE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A117848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEILA",
            "last_name": "MOORMAN",
            "middle_name": "KAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ottumwa, IA

Sources for this page

Verify at the official NPI Registry.