NPIMap

Individual provider Active NPI

Theresa Ann Stoker, NP

  • Family Nurse Practitioner
  • Ottumwa, IA
National Provider Identifier
1720740723
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A165763 Issued in IA
Practice address
522 N Hancock St
Ottumwa, IA 52501-4231
Phone
(641) 683-0800
Fax
(641) 683-0801
NPI assigned
Oct 7, 2021
Last updated
Jul 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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 A165763 IA Primary

Addresses

Primary practice location

522 N Hancock St
Ottumwa, IA 52501-4231

Mailing address

1 Saint Joseph Dr
Centerville, IA 52544-9017
Phone (641) 437-3000

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
I20220106002665 IA Practitioner - Nurse Practitioner 1951792613 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson County HospitalGroup PAC ID 9335059575, shared by 4 NPIs, 48 clinicians
Mercy Medical Center-CentervilleGroup PAC ID 9739077652, 37 clinicians

Practice addresses (Care Compare)

2000 C S Main St
Fairfield, IA 52556-9572

2000 S Main
Fairfield, IA 52556-9572

2000 S Main St
Fairfield, IA 52556-9572
Phone (641) 472-4111

522 N Hancock St
Ottumwa, IA 52501-4231
Phone (641) 683-0800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center-Centerville CurrentSince Jul 15, 2024 Accepting new patients
Active Health Clinics CurrentSince Nov 22, 2021 Accepting new patients
Joshua J. Mason DC PC CurrentSince Nov 22, 2021 Accepting new patients
Mercy Medical Center-Centerville Current Accepting new patients
Burlington Neurology and Sleep Clinic, PLC CurrentSince Jul 1, 2023 Accepting new patients
Mercy Medical Center-Centerville Past Accepting new patients

Locations

1 Saint Joseph Dr
Centerville, IA 52544
Phone (641) 437-3482

19942 Saint Joseph Dr
Centerville, IA 52544
Phone (641) 856-8684

2000 S Main St
Fairfield, IA 52556
Phone (641) 469-4204

20 N 29th St
Fort Dodge, IA 50501
Phone (515) 227-7491

522 N Hancock St
Ottumwa, IA 52501
Phone (641) 683-0800

1225 S Gear Ave
Ste 153
West Burlington, IA 52655

Interoperability endpoints

  • Direct secure messaging: tstoker3958784@direct.trinity-health.org

Organizations & group practices 8

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 5

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": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1720740723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SAINT JOSEPH DR",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525449017",
            "telephone_number": "641-437-3000",
            "fax_number": "641-437-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N HANCOCK ST",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525014231",
            "telephone_number": "641-683-0800",
            "fax_number": "641-683-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKER",
        "first_name": "THERESA",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A165763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottumwa, IA

Sources for this page

Verify at the official NPI Registry.