Individual provider Active NPI

Katy Maureen Maker, ARNP, CNM

  • Family Nurse Practitioner
  • Waukon, IA
National Provider Identifier
1861423014
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A157857 Issued in IA
Practice address
105 E Main St
Waukon, IA 52172
Phone
(563) 568-5530
Fax
(563) 568-6139
NPI assigned
Jul 5, 2006
Last updated
Oct 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9189 WI
Advanced Practice Midwife 367A00000X 178 MN
Advanced Practice Midwife 367A00000X 80403 IA
Family Nurse Practitioner 363LF0000X A157857 IA Primary

Addresses

Primary practice location

105 E Main St
Waukon, IA 52172

Mailing address

40 1St St SE
Waukon, IA 52172-2022
Phone (563) 568-3411

Other practice location 1

200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kmaker26667@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, TX, WI4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20071219000670 IA Practitioner - Certified Nurse Midwife (CNM) 3274623954 Reassigns benefits to 1 organization
I20151112002436 TX Practitioner - Certified Nurse Midwife (CNM) 3274623954 Reassigns benefits to 1 organization
I20190506000730 WI Practitioner - Certified Nurse Midwife (CNM) 3274623954 Reassigns benefits to 1 organization
I20220810001150 IA Practitioner - Nurse Practitioner 3274623954 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Veterans Memorial Hospital City of Waukon IaGroup PAC ID 1355230293, shared by 6 NPIs, 40 clinicians

Practice addresses (Care Compare)

105 E Main St
Waukon, IA 52172-1735
Phone (563) 568-5530

40 1St St SE
Waukon, IA 52172-2022
Phone 5635683411524

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
A157857IAMDFamily Nurse Practitioner
9189WIMDFamily Nurse Practitioner
80403IAMDAdvanced Practice Midwife
178MNMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Gundersen Lutheran Express Care, Inc CurrentSince Oct 19, 2007 Accepting new patients
Veterans Memorial Hospital City of Waukon Ia Current Accepting new patients
Veterans Memorial Hospital City of Waukon Ia CurrentSince Aug 1, 2022 Accepting new patients
Veterans Memorial Hospital City of Waukon Ia CurrentSince Aug 1, 2022 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Sep 18, 2015 Accepting new patients
Prairie Du Chien Memorial Hospital Association Inc CurrentSince May 6, 2019 Accepting new patients
Gundersen Clinic LTD CurrentSince Oct 19, 2007 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Sep 18, 2015 Accepting new patients
Veterans Memorial Hospital City of Waukon Ia Past Accepting new patients

Locations

235 8th Ave W
Cresco, IA 52136
Phone (319) 547-2101

105 E Main St
Waukon, IA 52172
Phone (319) 568-3449

40 1st St SE
Waukon, IA 52172
Phone (563) 568-3411

112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811

37822 US Highway 18
Prairie du Chien, WI 53821
Phone (608) 326-1072

37868 US Highway 18
Prairie du Chien, WI 53821
Phone (608) 357-2000

Interoperability endpoints

  • Direct secure messaging: kmaker26667@ehrdirect.mayoclinicmsg.org

Organizations & group practices 10

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.

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1861423014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 1ST ST SE",
            "city": "WAUKON",
            "state": "IA",
            "postal_code": "521722022",
            "telephone_number": "563-568-3411",
            "fax_number": "563-568-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E MAIN ST",
            "city": "WAUKON",
            "state": "IA",
            "postal_code": "52172",
            "telephone_number": "563-568-5530",
            "fax_number": "563-568-6139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 1st St SW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559050001",
            "country_code": "US",
            "telephone_number": "507-284-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAKER",
        "first_name": "KATY",
        "middle_name": "MAUREEN",
        "name_prefix": "Mrs.",
        "credential": "ARNP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2023-10-24",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "9189",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MN",
            "license": "178",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IA",
            "license": "80403",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A157857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmaker26667@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "37822 US Highway 18",
            "city": "Prairie Du Chien",
            "state": "WI",
            "country_code": "US",
            "postal_code": "538218416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waukon, IA

Sources for this page

Verify at the official NPI Registry.