Individual provider Active NPI

Carol Ludeking, FNP-BC, DNP

  • Family Nurse Practitioner
  • Decorah, IA
National Provider Identifier
1891211967
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A123651 Issued in IA
Practice address
901 Montgomery St
Decorah, IA 52101-2325
Phone
(563) 419-7743
NPI assigned
Aug 20, 2017
Last updated
Mar 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A123651 IA Primary
Family Nurse Practitioner 363LF0000X 5335 MN

Addresses

Primary practice location

901 Montgomery St
Decorah, IA 52101-2325

Mailing address

3127 County Road A46
Ridgeway, IA 52165-8562
Phone (563) 419-7743

Other practice location 1

114 Main St S
Mabel, MN 55954-9754
Phone (507) 493-5115

Other practice location 2

PO Box 94
Ossian, IA 52161-0094
Phone (563) 532-9500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cludeking271438@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20170912001375 IA Practitioner - Nurse Practitioner 5294008355 Reassigns benefits to 2 organizations
I20190412000408 MN Practitioner - Nurse Practitioner 5294008355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winneshiek Medical CenterGroup PAC ID 4688582935, shared by 9 NPIs, 99 clinicians

Practice addresses (Care Compare)

112 Jefferson St
West Union, IA 52175-1022
Phone (563) 422-3811

114 Fisher Ave
Ossian, IA 52161-8108
Phone (563) 532-9440

114 Main St S
Mabel, MN 55954-9754
Phone (507) 493-5115

700 College Dr
Decorah, IA 52101-1041
Phone (563) 387-1045

Hospital & facility affiliations

  • Winnmed Hospital, Decorah, IA, CCN 161371

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5335MNMDClinical Social Worker
A123651IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Winneshiek Medical Center CurrentSince Feb 23, 2019 Accepting new patients
Winneshiek Medical Center CurrentSince Sep 15, 2017 Accepting new patients
Winneshiek Medical Center Current Accepting new patients
Winneshiek Medical Center CurrentSince Sep 15, 2017 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

901 Montgomery St
Decorah, IA 52101
Phone (319) 382-2911

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

114 Main St S
Mabel, MN 55954
Phone (507) 493-5115

Interoperability endpoints

  • Direct secure messaging: cludeking127957@uihcdirect.org
  • Direct secure messaging: cludeking271438@ehrdirect.mayoclinicmsg.org

Organizations & group practices 5

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 1

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": "1503187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1891211967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 COUNTY ROAD A46",
            "city": "RIDGEWAY",
            "state": "IA",
            "postal_code": "521658562",
            "telephone_number": "563-419-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MONTGOMERY ST",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521012325",
            "telephone_number": "563-419-7743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Main St S",
            "address_purpose": "LOCATION",
            "city": "Mabel",
            "state": "MN",
            "postal_code": "559549754",
            "country_code": "US",
            "telephone_number": "507-493-5115",
            "fax_number": "507-493-5114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "PO Box 94",
            "address_purpose": "LOCATION",
            "city": "Ossian",
            "state": "IA",
            "postal_code": "521610094",
            "country_code": "US",
            "telephone_number": "563-532-9500",
            "fax_number": "563-532-9599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUDEKING",
        "first_name": "CAROL",
        "credential": "FNP-BC, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-20",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A123651",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "5335",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cludeking271438@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "901 Montgomery St",
            "city": "Decorah",
            "state": "IA",
            "country_code": "US",
            "postal_code": "521012325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Decorah, IA

Sources for this page

Verify at the official NPI Registry.