Organization Active NPI

Integrated Healthcare of Iowa, PLLC

  • Family Nurse Practitioner
  • Burlington, IA
National Provider Identifier
1750004891
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
INTEGRATED HEALTHCARE OF IOWA, PLLC
Practice address
903 Oak St
Burlington, IA 52601-4608
Phone
(319) 209-2150
Fax
(319) 209-2149
NPI assigned
Sep 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michelle Sue Prisner, DNP FNP-BC PMHNP-BCNPI 1538595640
Title
Owner/Authorized Individual
Phone
(319) 209-2150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

903 Oak St
Burlington, IA 52601-4608

Mailing address

903 Oak St
Burlington, IA 52601-4608
Phone (319) 209-2150

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mprisner@itiowa.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230207003159 IA Part B Supplier - Clinic/Group Practice 1456723022 Receives reassigned benefits from 1 practitioner
Practice locations: Burlington, IA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1750004891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 OAK ST",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526014608",
            "telephone_number": "319-209-2150",
            "fax_number": "319-209-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 OAK ST",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526014608",
            "telephone_number": "319-209-2150",
            "fax_number": "319-209-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTHCARE OF IOWA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "PRISNER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED INDIVIDUAL",
        "authorized_official_telephone_number": "319-209-2150",
        "authorized_official_credential": "DNP FNP-BC PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mprisner@itiowa.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "903 Oak St",
            "city": "Burlington",
            "state": "IA",
            "country_code": "US",
            "postal_code": "526014608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burlington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.