Individual provider Active NPI

Karlee K Weidemann, DC

  • Chiropractor
  • Oelwein, IA
National Provider Identifier
1851926315
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
099637 Issued in IA
Practice address
14 8TH Ave NE
Oelwein, IA 50662-1938
Phone
(319) 283-3824
Fax
(319) 283-2647
NPI assigned
Mar 5, 2020
Last updated
Oct 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 099637 IA Primary

Addresses

Primary practice location

14 8TH Ave NE
Oelwein, IA 50662-1938

Mailing address

14 8TH Ave NE
Oelwein, IA 50662-1938
Phone (319) 283-3824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200330003003 IA Practitioner - Chiropractic 7618306416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gearhart Chiropractic PCGroup PAC ID 2769708700, 2 clinicians

Practice addresses (Care Compare)

14 8TH Ave NE
Oelwein Chiropractic Clinic
Oelwein, IA 50662-1938
Phone (319) 283-3824

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gearhart Chiropractic PC Chiropractor CurrentSince Mar 3, 2020 Accepting new patients
Oelwein Chiropractic Clinic PC Chiropractor PastSince Mar 3, 2020 Accepting new patients

Locations

14 8th Ave NE
Oelwein, IA 50662
Phone (319) 283-3824

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1851926315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 8TH AVE NE",
            "city": "OELWEIN",
            "state": "IA",
            "postal_code": "506621938",
            "telephone_number": "319-283-3824",
            "fax_number": "319-283-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 8TH AVE NE",
            "city": "OELWEIN",
            "state": "IA",
            "postal_code": "506621938",
            "telephone_number": "319-283-3824",
            "fax_number": "319-283-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDEMANN",
        "first_name": "KARLEE",
        "middle_name": "K",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "099637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oelwein, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.