Individual provider Active NPI

Erin Cullen, ARNP

  • Family Nurse Practitioner
  • West Burlington, IA
National Provider Identifier
1821684564
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A160861 Issued in IA
Practice address
1225 S Gear Ave Ste 252
West Burlington, IA 52655-1687
Phone
(319) 752-1805
Fax
(319) 752-1629
NPI assigned
Dec 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A160861 IA Primary

Addresses

Primary practice location

1225 S Gear Ave Ste 252
West Burlington, IA 52655-1687

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

5409 Avenue O Ste 123
Fort Madison, IA 52627-9601
Phone (319) 752-1805

Other practice location 2

407 S White St Ste 27
Mount Pleasant, IA 52641-2263
Phone (319) 752-1805

Other practice location 3

2769 Heartland Dr Ste 303
Coralville, IA 52241-2732
Phone (319) 500-8051

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address Erin.Cullen@forefrontdermatology.emadirect.md
Direct Messaging Address Erin.Cullen@forefrontdermatology.emadirect.md
Direct Messaging Address Erin.Cullen@forefrontdermatology.emadirect.md
Direct Messaging Address Erin.Cullen@forefrontdermatology.emadirect.md

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
I20210125001185 IA Practitioner - Nurse Practitioner 5294149704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

1225 S Gear Ave
Suite 252
West Burlington, IA 52655-1687
Phone (319) 752-1805

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
75.68
Promoting interoperability
78
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A160861IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Jul 25, 2024 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Jul 25, 2024 Accepting new patients
Forefront Dermatology, S.C. Current Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients

Locations

855 A Ave NE
Cedar Rapids, IA 52402
Phone (319) 366-2013

202 10th St SE
Ste 270
Cedar Rapids, IA 52403
Phone (319) 294-4319

2769 Heartland Dr
Ste 303
Coralville, IA 52241
Phone (319) 500-8051

5409 Avenue O
Ste 123
Fort Madison, IA 52627
Phone (319) 376-2096

407 S White St
Ste 27
Mount Pleasant, IA 52641
Phone (319) 752-1805

1225 S Gear Ave
Ste 252
West Burlington, IA 52655
Phone (319) 752-1805

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: ecullen75233@uihcdirect.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1821684564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 S GEAR AVE STE 252",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551687",
            "telephone_number": "319-752-1805",
            "fax_number": "319-752-1629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5409 Avenue O Ste 123",
            "address_purpose": "LOCATION",
            "city": "Fort Madison",
            "state": "IA",
            "postal_code": "526279601",
            "country_code": "US",
            "telephone_number": "319-752-1805",
            "fax_number": "319-752-1629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "407 S White St Ste 27",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "IA",
            "postal_code": "526412263",
            "country_code": "US",
            "telephone_number": "319-752-1805",
            "fax_number": "319-752-1629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2769 Heartland Dr Ste 303",
            "address_purpose": "LOCATION",
            "city": "Coralville",
            "state": "IA",
            "postal_code": "522412732",
            "country_code": "US",
            "telephone_number": "319-500-8051",
            "fax_number": "319-500-8052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULLEN",
        "first_name": "ERIN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A160861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Erin.Cullen@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "407 S White St Ste 27",
            "city": "Mount Pleasant",
            "state": "IA",
            "country_code": "US",
            "postal_code": "526412263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Erin.Cullen@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1225 S Gear Ave Ste 252",
            "city": "West Burlington",
            "state": "IA",
            "country_code": "US",
            "postal_code": "526551687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Erin.Cullen@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "5409 Avenue O Ste 123",
            "city": "Fort Madison",
            "state": "IA",
            "country_code": "US",
            "postal_code": "526279601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Erin.Cullen@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2769 Heartland Dr Ste 303",
            "city": "Coralville",
            "state": "IA",
            "country_code": "US",
            "postal_code": "522412732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Burlington, IA

Sources for this page

Verify at the official NPI Registry.