Individual provider Active NPI

Michael P. Nelsestuen, ARNP

  • Family Nurse Practitioner
  • Waterloo, IA
National Provider Identifier
1841649233
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A125731 Issued in IA
Practice address
1825 Logan Ave
Waterloo, IA 50703-1916
Phone
(319) 235-3697
Fax
(319) 235-3844
NPI assigned
Jun 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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 A125731 IA Primary

Addresses

Primary practice location

1825 Logan Ave
Waterloo, IA 50703-1916

Mailing address

1825 Logan Ave
Waterloo, IA 50703-1916
Phone (319) 235-3697

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
I20160627001064 IA Practitioner - Nurse Practitioner 1759369986 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
83.66
Promoting interoperability
83
Improvement activities
40
Cost
69.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Salahuddin Syed MD PC Current Accepting new patients
Unitypoint Health - Marshalltown CurrentSince May 1, 2017 Accepting new patients
Allen Memorial Hospital Corporation CurrentSince Jun 12, 2016 Accepting new patients
Grundy County Memorial Hospital CurrentSince Feb 25, 2017 Accepting new patients
Waverly Health Center Current Accepting new patients
Marengo Memorial Hospital CurrentSince Jan 13, 2026 Accepting new patients
Allen Memorial Hospital Corporation Current Accepting new patients
Trinity Regional Medical Center CurrentSince Mar 17, 2020 Accepting new patients
Grundy County Memorial Hospital CurrentSince Feb 25, 2017 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Marengo Memorial Hospital Current Accepting new patients
Marengo Memorial Hospital Family CurrentSince Jan 13, 2026 Accepting new patients
Unitypoint Health - Marshalltown CurrentSince May 1, 2017 Accepting new patients
Grundy County Memorial Hospital Current Accepting new patients

Locations

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

201 E J Ave
Grundy Center, IA 50638
Phone (319) 824-5081

300 W May St
Marengo, IA 52301
Phone (319) 462-8011

300 W May St
Ste A
Marengo, IA 52301
Phone (319) 642-5543

55 Unitypoint Way
Marshalltown, IA 50158
Phone (641) 754-5145

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

312 9th St SW
Waverly, IA 50677
Phone (319) 352-4120

Interoperability endpoints

  • Direct secure messaging: mnelsestuen109775@direct.unitypoint.org

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1841649233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 LOGAN AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507031916",
            "telephone_number": "319-235-3697",
            "fax_number": "319-235-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 LOGAN AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507031916",
            "telephone_number": "319-235-3697",
            "fax_number": "319-235-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSESTUEN",
        "first_name": "MICHAEL",
        "middle_name": "P.",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A125731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.