Individual provider Active NPI

Aubrie Stuckey, ARNP

  • Adult Health Nurse Practitioner
  • Cedar Rapids, IA
National Provider Identifier
1679944904
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
H13167 Issued in IA
Practice address
202 10TH St SE Ste 225
Cedar Rapids, IA 52403-2419
Phone
(319) 364-7101
Fax
(319) 363-1993
NPI assigned
Oct 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X H13167 IA
Primary Care Nurse Practitioner 363LP2300X H13167 IA
Adult Health Nurse Practitioner 363LA2200X H13167 IA Primary

Addresses

Primary practice location

202 10TH St SE Ste 225
Cedar Rapids, IA 52403-2419

Mailing address

202 10TH St SE Ste 225
Cedar Rapids, IA 52403-2419
Phone (319) 364-7101

Other identifiers 1

IdentifierTypeStateIssuer
H131367OtherIAARNP LICENSE

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
I20151207000233 IA Practitioner - Nurse Practitioner 6800196379 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
H13167IAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital CurrentSince Jul 22, 2019 Accepting new patients
St. Luke'S Methodist Hospital CurrentSince Jul 22, 2019 Accepting new patients
Trinity Regional Medical Center Past Accepting new patients

Locations

202 10th St SE
Ste 225
Cedar Rapids, IA 52403
Phone (319) 364-7101

1026 A Ave NE
Cedar Rapids, IA 52402
Phone (319) 369-5970

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1679944904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 10TH ST SE STE 225",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032419",
            "telephone_number": "319-364-7101",
            "fax_number": "319-363-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 10TH ST SE STE 225",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032419",
            "telephone_number": "319-364-7101",
            "fax_number": "319-363-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKEY",
        "first_name": "AUBRIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IA",
            "license": "H13167",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IA",
            "license": "H13167",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IA",
            "license": "H13167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP LICENSE",
            "identifier": "H131367",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.