Susan M Peschel, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

H107677 Issued in IA

Practice address

631 N 8TH St
Missouri Valley, IA 51555-1102

Phone

(712) 642-2784

Fax

(712) 642-9259

NPI assigned

Feb 22, 2011

Last updated

Apr 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: speschel37562@achce.catholichealth.net

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.

• Alegent Health Community Memorial Hospital of Missouri Valley Iowa

  dba CHI Health Missouri Valley

  • Family Medicine Physician
  • Missouri Valley, IA
  • NPI 1023154176
  Medicare reassignment NPD
• Alegent Health Community Memorial Hospital of Missouri Valley, Iowa

  dba CHI Health Missouri Valley

  • Critical Access Hospital
  • Missouri Valley, IA
  • NPI 1508964123
  Medicare reassignment NPD
• Alegent Health Community Memorial Hospital of Missouri Valley, Iowa

  dba Alegent Health CMH Practitioner Services

  • Family Medicine Physician
  • Missouri Valley, IA
  • NPI 1043356108
  NPD
• Alegent Health Community Memorial Hospital of Missouri Valley, Iowa

  dba CHI Health Clinic Oakland

  • Rural Health Clinic/Center
  • Oakland, IA
  • NPI 1366063794
  NPD
• Alegent Health Bergan Mercy Health System

  dba CHI Health

  • Nurse Practitioner
  • Omaha, NE
  • NPI 1982773776
  NPD (past)

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1689971020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 N 8TH ST",
            "city": "MISSOURI VALLEY",
            "state": "IA",
            "postal_code": "515551102",
            "telephone_number": "712-642-2784",
            "fax_number": "712-642-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 N 8TH ST",
            "city": "MISSOURI VALLEY",
            "state": "IA",
            "postal_code": "515551102",
            "telephone_number": "712-642-2784",
            "fax_number": "712-642-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESCHEL",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-22",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "H107677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Missouri Valley Dental Group, LLC
• Missouri Valley Volunteer Fire Department (Missouri Valley Fire & Rescue)
• Leigh Moore
• Allison Marie Pagan, MD
• Gary Charles Paul, RPH
• Rita Petsch, ARNP
• Sharon Louise Pitt, APRN, FNP-C
• Daniel H. Richter, MD
• Tracy Anne Roberts, PTA
• Andrew David Rodman, PTA

• Nurse Practitioner in Missouri Valley, IA
• Providers in Missouri Valley, IA by specialty
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.