NPIMap

Individual provider Active NPI

Erin Leigh Deberry, PA

  • Medical Physician Assistant
  • Cedar Rapids, IA
National Provider Identifier
1821423567
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1941 Issued in NE
Practice address
202 10TH St SE
Cedar Rapids, IA 52403-2414
Phone
(319) 297-2904
NPI assigned
Sep 12, 2013
Last updated
Aug 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1941 NE Primary

Addresses

Primary practice location

202 10TH St SE
Cedar Rapids, IA 52403-2414

Mailing address

10170 Nicholas St
Omaha, NE 68114-2174
Phone (402) 391-3800

Other names 1

  • Erin Leigh Olmsted Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140114001252 IA Practitioner - Physician Assistant 1850529090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Clinic of Iowa PCGroup PAC ID 2163325242, 132 clinicians

Practice addresses (Care Compare)

202 10TH St SE
Cedar Rapids, IA 52403-2414
Phone (319) 247-3010

275 10TH St SE
Cedar Rapids, IA 52403-2414
Phone (319) 247-3010

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.5 of 100Reported as group
Quality
68.67
Promoting interoperability
100
Improvement activities
40
Cost
76.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1941NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Clinic of Iowa, PC CurrentSince Jul 18, 2022 Accepting new patients
Physicians' Clinic of Iowa, PC CurrentSince Jul 18, 2022 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

202 10th St SE
Cedar Rapids, IA 52403
Phone (319) 247-3010

202 10th St SE
Ste 165
Cedar Rapids, IA 52403
Phone (319) 247-3049

Interoperability endpoints

  • Direct secure messaging: erin.deberry.p1@direct.wra.nextgenshare.com
  • Direct secure messaging: erin.deberry@pciowa.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JIJCBD

Organizations & group practices 3

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 5

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": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1821423567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10170 NICHOLAS ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142174",
            "telephone_number": "402-391-3800",
            "fax_number": "402-934-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 10TH ST SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032414",
            "telephone_number": "319-297-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBERRY",
        "first_name": "ERIN",
        "middle_name": "LEIGH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "1941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "OLMSTED",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.