Individual provider Active NPI

Nicole Marie Schlosser, ARNP

  • Family Nurse Practitioner
  • Dubuque, IA
National Provider Identifier
1730197971
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A-100449 Issued in IA
Practice address
2442 Meinen CT
Dubuque, IA 52002-2787
Phone
(563) 556-6292
Fax
(563) 588-6286
NPI assigned
Aug 4, 2006
Last updated
Jun 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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-100449 IA Primary

Addresses

Primary practice location

2442 Meinen CT
Dubuque, IA 52002-2787

Mailing address

2442 Meinen CT
Dubuque, IA 52002-2787
Phone (563) 556-6292

Other identifiers 2

IdentifierTypeStateIssuer
1458521MedicaidIA
3674001OtherMEDICARE ID

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
I20070207000516 IA Practitioner - Nurse Practitioner 7113929910 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Wellness Center, P.C.Group PAC ID 9830488873, 2 clinicians

Practice addresses (Care Compare)

2442 Meinen CT
Dubuque, IA 52002-2787
Phone (563) 556-6292

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Finley Hospital CurrentSince Feb 1, 2018 Accepting new patients
The Finley Hospital Family CurrentSince Feb 1, 2018 Accepting new patients
Advanced Wellness Center, P.C. CurrentSince Apr 20, 2016 Accepting new patients

Locations

1500 Delhi St
Ste 4300
Dubuque, IA 52001
Phone (563) 557-5971

2255 John F Kennedy Rd
Ste 150
Dubuque, IA 52002
Phone (563) 589-4960

2442 Meinen Ct
Dubuque, IA 52002
Phone (563) 556-6292

4170 Pennsylvania Ave
Dubuque, IA 52002
Phone (563) 588-0011

4170 Pennsylvania Ave
Ste 1
Dubuque, IA 52002
Phone (563) 588-0011

8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363

Interoperability endpoints

  • Direct secure messaging: advancedwellness.nicoleschlosser@133328.advancedmd-direct.com

Organizations & group practices 3

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 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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1730197971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2442 MEINEN CT",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022787",
            "telephone_number": "563-556-6292",
            "fax_number": "563-588-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2442 MEINEN CT",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022787",
            "telephone_number": "563-556-6292",
            "fax_number": "563-588-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLOSSER",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A-100449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1458521",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "3674001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.