Angela Marie Buttjer, PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001419 Issued in IA

Practice address

3812 Pheasant LN
Waterloo, IA 50701-5200

Phone

(319) 236-3444

Fax

(319) 236-0257

NPI assigned

Apr 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Angela Marie Peters Former name

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

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Associates PCGroup PAC ID 0345132049, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.86 of 100Reported as individual

Quality

95.71

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Dermatology Associates PC

  • Dermatology Physician
  • Waterloo, IA
  • NPI 1629032404
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1831153626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 PHEASANT LN",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507015200",
            "telephone_number": "319-236-3444",
            "fax_number": "319-236-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 PHEASANT LN",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507015200",
            "telephone_number": "319-236-3444",
            "fax_number": "319-236-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTJER",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HEALTHCARE",
            "identifier": "39189614910",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "PETERS",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "PA C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Burks
• Sue Ann Burnett, NP-C
• Jayden Burnside
• Chad Joseph Buss, D.C.
• Jennifer L Butler, PHARMD
• Luke Allen Byerly, M.D.
• Madeline Cable, MT-BC
• James Patrick Cafaro, MD
• James J Cahill, DDS
• Kelsey Leigh Cain, LMSW, CADC

• Physician Assistant in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.