Roberta C Walburn, ARNP
Individual provider Active NPI Family Nurse Practitioner · Lineville, IA
NPI 1821067745 · NPPES record last updated Jan 7, 2019
Key facts
- NPI
- 1821067745
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- A-048790 (IA)
- Practice address
- 100 Main St.
Lineville, IA 50147-9998 - Phone
- (641) 876-2070
- Fax
- (641) 876-2458
- NPI assigned
- Mar 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercyone Urgentcare
Mercy Clinics Inc
Practice addresses (Care Compare)
2400 Lillian Way
Clinton, IA 52732-2001
Phone (225) 239-7190
307 E Scenic Valley Ave
Indianola, IA 50125-4865
6601 SW 9TH St
Suite 3
Des Moines, IA 50315-6138
Phone (515) 461-9786
800 E 1St
1700 Mercyone Des Moines Diabetes Education
Ankeny, IA 50021-2100
Phone (515) 643-5203
800 E 1St St
Ankeny, IA 50021-2077
800 E 1St St
Ankeny, IA 50021-2100
Hospital & facility affiliations
- Mercyone Des Moines Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040501000409 | IA | Practitioner - Nurse Practitioner | 3678561461 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-048790 | IA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinics, Inc. | Family | Current |
Accepting new patients |
| Mercyone Urgentcare | Current |
Accepting new patients | |
| Mercyone Central Iowa Urgent Care | Current |
Accepting new patients | |
| Mercyone Urgentcare | Current |
Accepting new patients | |
| Mercy Clinics, Inc. | Current |
Accepting new patients | |
| Decatur Medical Services, PC | Past | Accepting new patients | |
| Infinity Health | Past | Accepting new patients |
Locations
2400 Lillian Way
Clinton, IA 52732
Phone (563) 243-1200
6601 SW 9th St
Ste 3
Des Moines, IA 50315
Phone (515) 461-9786
307 E Scenic Valley Ave
Indianola, IA 50125
Phone (515) 961-8448
10319 Jefferson Hwy
Baton Rouge, LA 70809
Phone (224) 214-9352
Interoperability endpoints
- rwalburn4210286@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A-048790 | IA | Yes |
Addresses
Primary practice location
100 Main St.
Lineville, IA 50147-9998
Mailing address
PO Box 6
Lineville, IA 50147-0006
Phone (641) 876-2070
Other providers in Lineville, IA
All providers in Lineville, IA · Family Nurse Practitioner in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.