Active NPI
Heidi Leigh Van Maanen, D.O.
- Family Medicine Physician
- Ottumwa, IA
National Provider Identifier
1740500099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4350
- Practice address
- 920 N Quincy Ave
Ottumwa, IA 52501-3866 - Phone
- (641) 455-5200
- Fax
- (641) 455-5150
- NPI assigned
- Jun 9, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4350 | IA | Primary |
Addresses
Primary practice location
920 N Quincy Ave
Ottumwa, IA 52501-3866
Mailing address
920 N Quincy Ave
Ottumwa, IA 52501-3866
Phone (641) 455-5200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4350 | Other | IA | STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | prhc@direct.pellahealth.kobledirect.com | Direct |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pella Regional Health Center
Practice addresses (Care Compare)
405 Monroe St
Pella, IA 50219-1189
Phone (641) 628-3832
920 N Quincy Ave
Ottumwa Medical Clinic
Ottumwa, IA 52501-3866
Phone (641) 455-5200
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.71 of 100
- Quality
- 89.85
- Promoting interoperability
- 94.05
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.84 of 100
- Quality
- 91.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pella Regional Health Center | Current | Accepting new patients | |
| Pella Regional Health Center | Family Medicine | Current | Accepting new patients |
| Pella Regional Health Center | Current | Accepting new patients |
Locations
920 N Quincy Ave
Ottumwa, IA 52501
Phone (641) 236-4323
405 Monroe St
Pella, IA 50219
Phone (641) 621-2200
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 and National Provider Directory roles.
-
- Critical Access Hospital
- Pella, IA
- NPI 1578520888
-
- Community/Retail Pharmacy
- Prairie City, IA
- NPI 1033787445
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Centerville, IA
- NPI 1710253497
-
- Critical Access Hospital
- Oskaloosa, IA
- NPI 1356320659
-
- Critical Access Hospital
- Pella, IA
- NPI 1578520888
-
- General Acute Care Hospital
- Ottumwa, IA
- NPI 1013233741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1740500099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 N QUINCY AVE",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525013866",
"telephone_number": "641-455-5200",
"fax_number": "641-455-5150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 N QUINCY AVE",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525013866",
"telephone_number": "641-455-5200",
"fax_number": "641-455-5150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN MAANEN",
"first_name": "HEIDI",
"middle_name": "LEIGH",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-09",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "4350",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "4350",
"state": "IA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "prhc@direct.pellahealth.kobledirect.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "920 N Quincy Ave",
"city": "Ottumwa",
"state": "IA",
"country_code": "US",
"postal_code": "525013866",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Ottumwa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.