Individual provider Active NPI

Elizabeth A Gudgel, ARNP

  • Family Nurse Practitioner
  • Clive, IA
National Provider Identifier
1710211594
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A-115463 Issued in IA
Practice address
1601 NW 114TH St Ste 247
Clive, IA 50325-7036
Phone
(515) 222-7000
Fax
(515) 222-7037
NPI assigned
Sep 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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 A-115463 IA Primary

Addresses

Primary practice location

1601 NW 114TH St Ste 247
Clive, IA 50325-7036

Mailing address

PO Box 674721
Dallas, TX 75267-4721
Phone (515) 643-2519

Other names 1

  • Elizabeth A Sibbing Former name

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
I20091104000059 IA Practitioner - Nurse Practitioner 7618015165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinics IncGroup PAC ID 7911810882, 441 clinicians

Practice addresses (Care Compare)

1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 247-4240

1601 NW 114TH St
Clive, IA 50325-7036

330 Laurel St
Suite 1200
Des Moines, IA 50314-3044
Phone (515) 643-6290

800 E 1St St
Ankeny, IA 50021-2077

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A-115463IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinics, Inc. Family CurrentSince Aug 10, 2015 Accepting new patients
Mercy Clinics, Inc. CurrentSince Aug 10, 2015 Accepting new patients
Maquoketa Family Clinic CurrentSince Nov 1, 2014 Accepting new patients
Mercy Clinics Inc Past Accepting new patients
Mercy Clinics, Inc. Past Accepting new patients

Locations

1601 NW 114th St
Ste 242
Clive, IA 50325
Phone (515) 222-7348

1601 NW 114th St
Ste 345
Des Moines, IA 50325
Phone (515) 222-7337

330 Laurel St
Ste 1200
Des Moines, IA 50314
Phone (515) 643-5454

1601 NW 114th St
Ste 257
Des Moines, IA 50325

1601 NW 114th St
Des Moines, IA 50325
Phone (515) 222-7000

1601 NW 114th St
Ste 247
Des Moines, IA 50325
Phone (515) 222-7000

206 N Arcade St
Maquoketa, IA 52060
Phone (319) 652-6711

Interoperability endpoints

  • Direct secure messaging: egudgel3945949@direct.trinity-health.org

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1253836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1710211594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674721",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674721",
            "telephone_number": "515-643-2519",
            "fax_number": "515-222-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NW 114TH ST STE 247",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503257036",
            "telephone_number": "515-222-7000",
            "fax_number": "515-222-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDGEL",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-25",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A-115463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SIBBING",
            "middle_name": "A",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clive, IA

Sources for this page

Verify at the official NPI Registry.