NPIMap

Individual provider Active NPI

Ericka Marie Muhlbauer, MD

  • Family Medicine Physician
  • Carroll, IA
National Provider Identifier
1700370624
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R-11342 Issued in IA
Practice address
1214 S Grant Rd
Carroll, IA 51401-3102
Phone
(712) 792-1500
Fax
(712) 792-7597
NPI assigned
Jun 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R-11342 IA Primary

Addresses

Primary practice location

1214 S Grant Rd
Carroll, IA 51401-3102

Mailing address

1215 Duff Ave
Ames, IA 50010-5469
Phone (515) 239-4400

Other practice location 1

840 E University Ave
Des Moines, IA 50316
Phone (515) 265-1050

Other names 1

  • Ericka Marie Tank Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address etank82608@directmcfarlandclinic.com Health Information Exchange (HIE)

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
I20200130002229 IA Practitioner - Family Practice 5496181059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McFarland Clinic PCGroup PAC ID 1254244239, 353 clinicians

Practice addresses (Care Compare)

1214 S Grant Rd
Carroll, IA 51401-3102
Phone (712) 792-1500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions25
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R-11342IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McFarland Clinic PC CurrentSince Dec 15, 2020 Accepting new patients
St Anthony Regional Hospital and Nursing Home Past Accepting new patients

Locations

1215 Duff Ave
Ames, IA 50010
Phone (515) 239-4400

1214 S Grant Rd
Carroll, IA 51401
Phone (712) 792-1500

Interoperability endpoints

  • Direct secure messaging: etank82608@directmcfarlandclinic.com

Organizations & group practices 2

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.

Hospital & facility affiliations 8

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": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1700370624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 DUFF AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105469",
            "telephone_number": "515-239-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 S GRANT RD",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013102",
            "telephone_number": "712-792-1500",
            "fax_number": "712-792-7597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 E University Ave",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "50316",
            "country_code": "US",
            "telephone_number": "515-265-1050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUHLBAUER",
        "first_name": "ERICKA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R-11342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "etank82608@directmcfarlandclinic.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1214 S Grant Rd",
            "city": "Carroll",
            "state": "IA",
            "country_code": "US",
            "postal_code": "514013102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ERICKA",
            "last_name": "TANK",
            "middle_name": "MARIE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carroll, IA

Sources for this page

Verify at the official NPI Registry.