Monica Nuckolls, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

G176713 Issued in IA

Practice address

600 4TH St Ste 501
Sioux City, IA 51101-1606

Phone

(712) 234-0220

Fax

(712) 234-0225

NPI assigned

Oct 17, 2023

Last updated

Apr 24, 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 1

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

Telehealth

Offers telehealth services

Group practices

Family Services IncGroup PAC ID 2668561358, 3 clinicians

Burgess Health CenterGroup PAC ID 0143131516, shared by 7 NPIs, 13 clinicians

Rodney J Dean MD, PCGroup PAC ID 8628060654, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Burgess Health Center Hospital, Onawa, IA, CCN 161359

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mgutierrez665406@direct.unitypoint.org
• Direct secure messaging: monicagutierrez@aps.allscriptsdirect.net

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.

• Rodney J Dean MD, PC

  dba Dean and Associates

  • Psychiatry Physician
  • Sioux City, IA
  • NPI 1124188958

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Associates for Psychiatric Services PC

  • Psychiatry Physician
  • Sioux City, IA
  • NPI 1598783490

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Burgess Health Center

  • Emergency Medicine Physician
  • Onawa, IA
  • NPI 1538234232
  Medicare reassignment NPD
• Burgess Health Center

  • Critical Access Hospital
  • Onawa, IA
  • NPI 1730253360
  Medicare reassignment NPD
• Family Service's Inc

  • Psychiatry Physician
  • Sioux City, IA
  • NPI 1720165897
  Care Compare group
• Burgess Health Center

  dba Burgess Clinic - Whiting

  • Rural Health Clinic/Center
  • Whiting, IA
  • NPI 1487022216
  NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Ven Mental Health and TMS Clinic LLC

  • Psychiatry Physician
  • Dakota Dunes, SD
  • NPI 1467341628

  Psychiatric/Mental Health

  NPD

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

• Burgess Health Center

  • Critical Access Hospital
  • Onawa, IA
  • NPI 1730253360
  Care Compare affiliation

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1871375543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 BRUNEAU DR APT 10",
            "city": "N SIOUX CITY",
            "state": "SD",
            "postal_code": "570494083",
            "fax_number": "712-234-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 4TH ST STE 501",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011606",
            "telephone_number": "712-234-0220",
            "fax_number": "712-234-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUCKOLLS",
        "first_name": "MONICA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G176713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Iowa Hospital Corporation (St Lukes Regional Medical Center)
• Northwest Iowa Hospital Corporation (St Lukes Regional Medical Center)
• Stacey Louise Norton-Modrell, LISW
• Emilie J Norton
• NPP Senior Properties Opco, LLC
• Jaimee Nutt, LMHC
• Brenda T Nyatanga, MD
• Morgan Marie O'Hern
• Jeffrey D O'Tool, M.D.
• Oakleaf Property Management

• Psychiatric/Mental Health Nurse Practitioner in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.