Active NPI
Carol Belloma, ARNP
- Nurse Practitioner
- Centerville, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 111111
- Practice address
- 1 Saint Joseph Dr
Centerville, IA 52544-9017 - Phone
- (641) 437-3399
- Fax
- (641) 437-3403
- NPI assigned
- Sep 8, 2009
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 111111 | IA | Primary |
Addresses
Primary practice location
1 Saint Joseph Dr
Centerville, IA 52544-9017
Mailing address
1 St. Joseph'S Drive
Centerville, IA 52544
Phone (641) 437-3399
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Medical Center-Centerville
Practice addresses (Care Compare)
19942 Saint Joseph Dr
Centerville, IA 52544-8849
Phone (641) 856-8684
Hospital & facility affiliations
- Elara Caring
- Mercyone Centerville Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111111 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Medical Center-Centerville | Current | Accepting new patients | |
| Mercy Medical Center-Centerville | Current | Accepting new patients | |
| Mercy Medical Center-Centerville | Current | Accepting new patients | |
| Mercy Medical Center-Centerville | Current | Accepting new patients | |
| Boone County Hospital | Past | Accepting new patients |
Locations
19942 Saint Joseph Dr
Centerville, IA 52544
Phone (641) 856-8684
1 Saint Joseph Dr
Centerville, IA 52544
Phone (641) 437-3482
Interoperability endpoints
- cbelloma3963720@direct.trinity-health.org
Organizations & group practices 5
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
- Centerville, IA
- NPI 1356391635
-
- Emergency Care Clinic/Center
- Centerville, IA
- NPI 1528018801
-
- Multi-Specialty Clinic/Center
- Ottumwa, IA
- NPI 1093360679
-
- Family Medicine Physician
- Centerville, IA
- NPI 1346290624
-
- Critical Access Hospital
- Boone, IA
- NPI 1467434225
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Centerville, IA
- NPI 1710253497
-
- Critical Access Hospital
- Centerville, IA
- NPI 1356391635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252368000000",
"number": "1780917831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ST. JOSEPH'S DRIVE",
"city": "CENTERVILLE",
"state": "IA",
"postal_code": "52544",
"telephone_number": "641-437-3399",
"fax_number": "641-437-3403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SAINT JOSEPH DR",
"city": "CENTERVILLE",
"state": "IA",
"postal_code": "525449017",
"telephone_number": "641-437-3399",
"fax_number": "641-437-3403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLOMA",
"first_name": "CAROL",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-08",
"last_updated": "2009-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "111111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centerville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.