Individual provider Active NPI

Lynne Marie Abbott

  • Family Nurse Practitioner
  • Cedar Rapids, IA
National Provider Identifier
1699357277
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A162789 Issued in IA
Practice address
5906 Michael Dr NE
Cedar Rapids, IA 52411-8035
Phone
(319) 743-5316
NPI assigned
Apr 23, 2021
Last updated
Apr 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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 A162789 IA Primary

Addresses

Primary practice location

5906 Michael Dr NE
Cedar Rapids, IA 52411-8035

Mailing address

5906 Michael Dr NE
Cedar Rapids, IA 52411-8035
Phone (319) 743-5316

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
I20210826003440 IA Practitioner - Nurse Practitioner 4385049410 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A162789IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
QV Urgent Care Ia PLLC CurrentSince Aug 5, 2022 Accepting new patients
QV Urgent Care Ia PLLC CurrentSince Aug 5, 2022 Accepting new patients
Eastern Iowa Health Center Past Accepting new patients

Locations

1501 39th St
Fort Madison, IA 52627
Phone (319) 376-1511

213 West St S
Grinnell, IA 50112
Phone (641) 519-0563

801 N Grand Ave
Mt Pleasant, IA 52641
Phone (319) 984-4775

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1699357277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5906 MICHAEL DR NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524118035",
            "telephone_number": "319-743-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5906 MICHAEL DR NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524118035",
            "telephone_number": "319-743-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOTT",
        "first_name": "LYNNE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A162789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.