Individual provider Active NPI

Susan R Gilbert, ARNP

  • Family Nurse Practitioner
  • Osceola, IA
National Provider Identifier
1720178882
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A-103457 Issued in IA
Practice address
827 S Jackson St
Osceola, IA 50213-1666
Phone
(641) 342-2128
Fax
(643) 342-3179
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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-103457 IA Primary

Addresses

Primary practice location

827 S Jackson St
Osceola, IA 50213-1666

Mailing address

827 S Jackson St
Osceola, IA 50213-1666
Phone (515) 471-9243

Other identifiers 2

IdentifierTypeStateIssuer
P00741005OtherIARR MEDICARE
1720178882MedicaidIA

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
I20070918000294 IA Practitioner - Nurse Practitioner 4284728502 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarke County Public HospitalGroup PAC ID 1951219328, shared by 4 NPIs, 43 clinicians

Practice addresses (Care Compare)

800 S Fillmore St
Osceola, IA 50213-1694

Hospital & facility affiliations

  • Unitypoint at Home Home health agency, Urbandale, IA, CCN 167148
  • Everystep Home health agency, Creston, IA, CCN 167430
  • Clarke County Hospital Hospital, Osceola, IA, CCN 161348

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A-103457IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clarke County Public Hospital Current Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Clarke County Public Hospital CurrentSince Jul 22, 2019 Accepting new patients
Clarke County Public Hospital CurrentSince Jul 22, 2019 Accepting new patients
Mercy Medical Center-Centerville Past Accepting new patients

Locations

800 S Fillmore St
Osceola, IA 50213
Phone (641) 342-2184

800 S Fillmore St
Ste A
Osceola, IA 50213
Phone (641) 342-2128

800 S Fillmore St
Ste Abc
Osceola, IA 50213

Interoperability endpoints

  • Direct secure messaging: sgilbert168576@direct.unitypoint.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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1720178882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 S JACKSON ST",
            "city": "OSCEOLA",
            "state": "IA",
            "postal_code": "502131666",
            "telephone_number": "515-471-9243",
            "fax_number": "515-471-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 S JACKSON ST",
            "city": "OSCEOLA",
            "state": "IA",
            "postal_code": "502131666",
            "telephone_number": "641-342-2128",
            "fax_number": "643-342-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "SUSAN",
        "middle_name": "R",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A-103457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00741005",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720178882",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Osceola, IA

Sources for this page

Verify at the official NPI Registry.