Individual provider Active NPI

Kelsey Colby, NP

  • Women's Health Nurse Practitioner
  • Waterloo, IA
National Provider Identifier
1811525876
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
F156875 Issued in IA
Practice address
233 Vold Dr
Waterloo, IA 50703-1256
Phone
(319) 235-5090
NPI assigned
Mar 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN2320547 MA
Women's Health Nurse Practitioner 363LW0102X F156875 IA Primary

Addresses

Primary practice location

233 Vold Dr
Waterloo, IA 50703-1256

Mailing address

233 Vold Dr
Waterloo, IA 50703-1256
Phone (319) 235-5090

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
I20201124002673 IA Practitioner - Nurse Practitioner 9335550284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Allen Memorial Hospital CorporationGroup PAC ID 4284546045, 149 clinicians

Practice addresses (Care Compare)

1600 1St St E
Buchanan County Health Center
Independence, IA 50644-3155
Phone (319) 332-0999

1825 Logan Ave
Waterloo, IA 50703-1916
Phone (319) 235-3913

233 Vold Dr
Waterloo, IA 50703-1256
Phone 31923550900

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
83.66
Promoting interoperability
83
Improvement activities
40
Cost
69.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2320547MAMDAdult Health Nurse Practitioner
F156875IAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allen Memorial Hospital Corporation CurrentSince Oct 27, 2020 Accepting new patients
Allen Memorial Hospital Corporation Women'S Health CurrentSince Oct 27, 2020 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients

Locations

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

233 Vold Dr
Waterloo, IA 50703
Phone (319) 235-5090

Interoperability endpoints

  • Direct secure messaging: kdriscoll775518@direct.unitypoint.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.

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1811525876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 VOLD DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507031256",
            "telephone_number": "319-235-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 VOLD DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507031256",
            "telephone_number": "319-235-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBY",
        "first_name": "KELSEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN2320547",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IA",
            "license": "F156875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.