Individual provider Active NPI

Katherine Elizabeth Andersen

  • Family Nurse Practitioner
  • Hiawatha, IA
National Provider Identifier
1770912768
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A123622 Issued in IA
Practice address
1001 N Center Point Rd
Hiawatha, IA 52233-1236
Phone
(319) 362-0200
Fax
(319) 375-6196
NPI assigned
Nov 11, 2013
Last updated
Oct 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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 A123622 IA Primary

Addresses

Primary practice location

1001 N Center Point Rd
Hiawatha, IA 52233-1236

Mailing address

1001 N Center Point Rd
Hiawatha, IA 52233-1236
Phone (319) 362-0200

Other identifiers 1

IdentifierTypeStateIssuer
A123622OtherIASTATE LICENSE

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
I20140313000746 IA Practitioner - Nurse Practitioner 5193955144 Reassigns benefits to 2 organizations

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

Practice addresses (Care Compare)

1795 Hwy 64 E
Anamosa, IA 52205-2112
Phone (319) 462-6131

1795 Hwy 64 E 1
Unitypoint Health Jones Regional Me
Anamosa, IA 52205-2112
Phone (319) 481-6291

2375 Edgewood Rd SW
Cedar Rapids, IA 52404-4736
Phone (319) 396-1983

2992 7TH Ave
Marion, IA 52302-3720
Phone (319) 730-8300

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

4480 Utica Ridge Rd
Suite 160
Bettendorf, IA 52722-1637
Phone (563) 742-5950

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A123622IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Apr 6, 2015 Accepting new patients
St Luke's Jones Regional Medical Center CurrentSince Feb 25, 2019 Accepting new patients
St. Luke's Jones Regional Medical Center CurrentSince Feb 25, 2019 Accepting new patients

Locations

1791 Highway 64 E
Anamosa, IA 52205
Phone (319) 462-3306

1795 Highway 64 E
Ste 1
Anamosa, IA 52205
Phone (319) 481-6291

105 9th Ave
Belle Plaine, IA 52208
Phone (319) 444-2840

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

153 Collins Rd NE
Cedar Rapids, IA 52402
Phone (319) 826-2972

2375 Edgewood Rd SW
Cedar Rapids, IA 52404
Phone (319) 396-1983

6911 C Ave NE
Cedar Rapids, IA 52402
Phone (319) 832-1463

1001 N Center Point Rd
Hiawatha, IA 52233
Phone (319) 369-8375

1940 Blairs Ferry Rd
Ste 104
Hiawatha, IA 52233
Phone (319) 393-0178

400 S Blairsferry Crossing
Ste A
Hiawatha, IA 52233
Phone (319) 393-0783

300 W May St
Marengo, IA 52301
Phone (319) 462-8011

300 W May St
Ste A
Marengo, IA 52301
Phone (319) 642-5543

740 E Oak St
Monticello, IA 52310
Phone (319) 364-7101

1412 Cedar St
Tipton, IA 52772
Phone (563) 886-2182

1803 C Ave
Vinton, IA 52349
Phone (319) 472-2304

Interoperability endpoints

  • Direct secure messaging: kandersen168584@direct.unitypoint.org

Organizations & group practices 4

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 2

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": "1384128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1770912768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N CENTER POINT RD",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522331236",
            "telephone_number": "319-362-0200",
            "fax_number": "319-375-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N CENTER POINT RD",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522331236",
            "telephone_number": "319-362-0200",
            "fax_number": "319-375-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-11",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A123622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A123622",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawatha, IA

Sources for this page

Verify at the official NPI Registry.