Active NPI
Stacey Ann Embretson, ARNP
- Nurse Practitioner
- Elkader, IA
National Provider Identifier
1841546512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- A110842
- Practice address
- 911 Carter St NW
Elkader, IA 52043-9016 - Phone
- (563) 245-1717
- Fax
- (563) 245-2066
- NPI assigned
- Jul 31, 2012
- 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 | A110842 | IA | Primary |
Addresses
Primary practice location
911 Carter St NW
Elkader, IA 52043-9016
Mailing address
911 Carter St NW
Elkader, IA 52043-9016
Phone (563) 245-1717
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | staceyembretson@cchelkader.cernerdirect.com | Direct |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121205000093 | IA | Practitioner - Nurse Practitioner | 7012169675 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Central Community Hospital
Practice addresses (Care Compare)
101 Franklin St
Monona, IA 52159-8092
Phone (563) 539-4631
911 Carter St NW
Mercyone Elkader Med
Elkader, IA 52043-9016
Phone (563) 245-1717
Hospital & facility affiliations
- Gundersen Palmer Lutheran Hosp & Clin-Home Health
- Mercyone Elkader Medical Center
- Crossing Rivers Health Medical Center
- Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A110842 | IA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Community Hospital | Current | Accepting new patients | |
| Central Community Hospital | Current | Accepting new patients | |
| Central Community Hospital | Current | Accepting new patients |
Locations
901 Davidson St NW
Elkader, IA 52043
Phone (563) 245-7000
911 Carter St NW
Elkader, IA 52043
Phone (563) 245-1717
101 Franklin St
Monona, IA 52159
Phone (563) 539-4651
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/0e14dd7a-54b5-4e15-8bd7-0053cd69b1ac/
- sembretson3964128@direct.trinity-health.org
Organizations & group practices 6
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.
-
- Rural Health Clinic/Center
- Elkader, IA
- NPI 1952986010
-
- Rural Health Clinic/Center
- Monona, IA
- NPI 1679158737
-
- Medicare Defined Swing Bed Hospital Unit
- Elkader, IA
- NPI 1831102557
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- West Union, IA
- NPI 1174572481
-
- Critical Access Hospital
- Prairie Du Chien, WI
- NPI 1619024197
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668643200000",
"number": "1841546512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 CARTER ST NW",
"city": "ELKADER",
"state": "IA",
"postal_code": "520439016",
"telephone_number": "563-245-1717",
"fax_number": "563-245-2066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 CARTER ST NW",
"city": "ELKADER",
"state": "IA",
"postal_code": "520439016",
"telephone_number": "563-245-1717",
"fax_number": "563-245-2066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMBRETSON",
"first_name": "STACEY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-31",
"last_updated": "2022-11-17",
"certification_date": "2022-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "A110842",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "staceyembretson@cchelkader.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "MercyOne Elkader direct email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "911 Carter St NW",
"city": "Elkader",
"state": "IA",
"country_code": "US",
"postal_code": "520439016",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Elkader, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.