Individual provider Active NPI

Bailley Kralik

  • Family Nurse Practitioner
  • Clarinda, IA
National Provider Identifier
1700477908
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A161971 Issued in IA
Practice address
220 Essie Davison Dr
Clarinda, IA 51632-2915
Phone
(712) 542-2176
NPI assigned
Jan 30, 2021
Last updated
Aug 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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 A161971 IA Primary

Addresses

Primary practice location

220 Essie Davison Dr
Clarinda, IA 51632-2915

Mailing address

1130 Uban Ave
Creston, IA 50801-8504
Phone (712) 542-0351

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
I20210331000623 IA Practitioner - Nurse Practitioner 7810304268 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A161971IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Clarinda Regional Health Center Current Accepting new patients
Clarinda Regional Health Center CurrentSince Mar 15, 2021 Accepting new patients

Locations

303 Pearl St
Bedford, IA 50833
Phone (712) 523-1146

220 Essie Davison Dr
Clarinda, IA 51632
Phone (712) 542-8330

Interoperability endpoints

  • Direct secure messaging: bbaker467045@direct.unitypoint.org

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": "1611964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1700477908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 UBAN AVE",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508018504",
            "telephone_number": "712-542-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ESSIE DAVISON DR",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516322915",
            "telephone_number": "712-542-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRALIK",
        "first_name": "BAILLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-30",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A161971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarinda, IA

Sources for this page

Verify at the official NPI Registry.