Individual provider Active NPI

Tamara Susan Williams

  • Acute Care Nurse Practitioner
  • Emmetsburg, IA
National Provider Identifier
1831875798
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
H174672 Issued in IA
Practice address
3201 1St Street
Emmetsburg, IA 50536
Phone
(712) 852-5500
NPI assigned
Jun 26, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X H174672 IA Primary

Addresses

Primary practice location

3201 1St Street
Emmetsburg, IA 50536

Mailing address

3605 450TH Ave
Emmetsburg, IA 50536
Phone (712) 298-2287

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
I20230830000375 IA Practitioner - Nurse Practitioner 2466815048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palo Alto County HospitalGroup PAC ID 4486563061, 23 clinicians

Practice addresses (Care Compare)

3201 1St St
Emmetsburg, IA 50536-2516
Phone (712) 852-5500

Hospital & facility affiliations

  • Palo Alto County Hospital Hospital, Emmetsburg, IA, CCN 161357
  • Palo Alto County Hospital Nursing home, CCN 16Z357

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Palo Alto County Hospital CurrentSince Aug 1, 2023 Accepting new patients
Palo Alto County Hospital CurrentSince Aug 1, 2023 Accepting new patients

Locations

3201 1st St
Emmetsburg, IA 50536
Phone (712) 852-5500

Organizations & group practices 8

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": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1831875798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 450TH AVE",
            "city": "EMMETSBURG",
            "state": "IA",
            "postal_code": "50536",
            "telephone_number": "712-298-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 1ST STREET",
            "city": "EMMETSBURG",
            "state": "IA",
            "postal_code": "50536",
            "telephone_number": "712-852-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TAMARA",
        "middle_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IA",
            "license": "H174672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emmetsburg, IA

Sources for this page

Verify at the official NPI Registry.