Active NPI
Mary Wagner Nixon, ARNP
- Nurse Practitioner
- Iowa City, IA
National Provider Identifier
1821084468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- Z058068
- Practice address
- 200 Hawkins Dr
University of Iowa Hospitals & Clinics
Iowa City, IA 52242-1009 - Phone
- (319) 356-7179
- Fax
- (319) 384-8843
- NPI assigned
- Sep 20, 2005
- 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 | Z058068 | IA | Primary |
Addresses
Primary practice location
200 Hawkins Dr
University of Iowa Hospitals & Clinics
Iowa City, IA 52242-1009
Mailing address
200 Hawkins Dr
University of Iowa Hospitals & Clinics
Iowa City, IA 52242-1009
Phone (319) 356-7179
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0421065 | Medicaid | IA | |
| 04878 | Other | IA | WELLMARK BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Z058068 | IA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191283200000",
"number": "1821084468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"address_2": "UNIVERSITY OF IOWA HOSPITALS & CLINICS",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "319-356-7179",
"fax_number": "319-384-8843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"address_2": "UNIVERSITY OF IOWA HOSPITALS & CLINICS",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "319-356-7179",
"fax_number": "319-384-8843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIXON",
"first_name": "MARY",
"middle_name": "WAGNER",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-20",
"last_updated": "2007-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "Z058068",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0421065",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "04878",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.