Individual provider Active NPI

Wendy Lynn Chapin, ARNP

  • Family Nurse Practitioner
  • Waterloo, IA
National Provider Identifier
1740616739
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A105053 Issued in IA
Practice address
3812 Pheasant LN
Waterloo, IA 50701-5200
Phone
(319) 236-3444
Fax
(319) 236-0257
NPI assigned
Sep 23, 2013
Last updated
Jul 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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 A105053 IA Primary

Addresses

Primary practice location

3812 Pheasant LN
Waterloo, IA 50701-5200

Mailing address

3812 Pheasant LN
Waterloo, IA 50701-5200
Phone (319) 236-3444

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
I20131126001066 IA Practitioner - Nurse Practitioner 7416183256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates PCGroup PAC ID 0345132049, 5 clinicians

Practice addresses (Care Compare)

3812 Pheasant LN
Waterloo, IA 50701-5200
Phone (319) 236-3444

Merit-based Incentive Payment System (MIPS)

Final score
97.91 of 100Reported as individual
Quality
95.83
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates PC CurrentSince Jan 27, 2015 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

3812 Pheasant Ln
Waterloo, IA 50701
Phone (319) 236-3444

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1740616739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 PHEASANT LN",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507015200",
            "telephone_number": "319-236-3444",
            "fax_number": "319-236-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 PHEASANT LN",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507015200",
            "telephone_number": "319-236-3444",
            "fax_number": "319-236-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPIN",
        "first_name": "WENDY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A105053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.