Kathryn Elizabeth Ewoldt, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A175944 Issued in IA

Practice address

5921 SE 14TH St Ste 2500
Des Moines, IA 50320-1747

Phone

(515) 287-5757

NPI assigned

Aug 28, 2023

Last updated

Nov 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercyone Des Moines Medical Center Hospital, Des Moines, IA, CCN 160083

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: k.ewoldt@iowaderm.emadirect.md
• Direct secure messaging: kewoldt1047464@direct.unitypoint.org

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.

• Iowa Physicians Clinic Medical Foundation

  dba UnityPoint Clinic

  • General Practice Physician
  • West Des Moines, IA
  • NPI 1366425274
  Medicare reassignment Care Compare group NPD
• Iowa Dermatology Clinic PLC

  dba RC Dermatology PLC

  • Dermatology Physician
  • West Des Moines, IA
  • NPI 1679687081

  Nurse Practitioner

  Medicare reassignment NPD
• QV Urgent Care Ia PLLC

  dba QuickVisit Urgent Care

  • Urgent Care Clinic/Center
  • Mt Pleasant, IA
  • NPI 1407465917
  Medicare reassignment NPD
• Iowa Dermatology Clinic PLC

  dba Radiant Complexions Dermatology Clinics or Radiant Pathology

  • Clinical Medical Laboratory
  • West Des Moines, IA
  • NPI 1255679163
  NPD
• Iowa Dermatology Clinic PLC

  dba Radiant Complexions Dermatology Clinic

  • Dermatology Physician
  • Mason City, IA
  • NPI 1578221883
  NPD
• Iowa Dermatology Clinic, PLC

  dba RC Dermatology PLC

  • Nurse Practitioner
  • West Des Moines, IA
  • NPI 1487026266
  NPD
• QV Urgent Care Ia PLLC

  dba Quickvisit Urgent Care

  • Rural Health Clinic/Center
  • Washington, IA
  • NPI 1235835950
  NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Iowa Physicians Clinic Medical Foundation

  dba Iowa Health Physicians

  • Durable Medical Equipment & Medical Supplies
  • Des Moines, IA
  • NPI 1104852383
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Catholic Health Initiatives - Iowa Corp

  dba MercyOne West Des Moines Medical Center

  • General Acute Care Hospital
  • West Des Moines, IA
  • NPI 1538395975
  Care Compare affiliation
• Catholic Health Initiatives-Iowa Corp

  dba MercyOne Des Moines Laboratory

  • Clinical Medical Laboratory
  • Des Moines, IA
  • NPI 1104982743

  Hospital

  Care Compare affiliation
• Catholic Health Initiatives-Iowa Corp

  dba MercyOne Des Moines Medical Center

  • General Acute Care Hospital
  • Des Moines, IA
  • NPI 1508964883
  Care Compare affiliation
• Catholic Health Initiatives, Ia-Corp

  dba Mercy Medical Mammography Center

  • Mammography Clinic/Center
  • Des Moines, IA
  • NPI 1477984367

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1861277980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 LAKE DR STE 285",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502662544",
            "telephone_number": "319-830-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5921 SE 14TH ST STE 2500",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503201747",
            "telephone_number": "515-287-5757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1825 Logan Ave",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "507031916",
            "country_code": "US",
            "telephone_number": "319-226-2028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EWOLDT",
        "first_name": "KATHRYN",
        "middle_name": "ELIZABETH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A175944",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A175944",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "IA",
            "license": "A175944",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Karen Evison, RN
• Evolve Psychotherapy & Consulting
• Eye Care Associates of Co, LLC (Eye Care of Iowa - East Des Moines)
• Eye Care Associates of Co, LLC (Eye Care of Iowa - South Des Moines)
• Eye Care of Iowa P.C.
• Eye Care of Iowa PC
• Eye Health Physicians, P.C.

• Family Nurse Practitioner in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.