Individual provider Active NPI

David Michael Owen, A.R.N.P.

  • Family Nurse Practitioner
  • Hamburg, IA
National Provider Identifier
1891768024
Registry record updated Jan 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A096018 Issued in IA
Practice address
1219 Main St
Hamburg, IA 51640-1300
Phone
(712) 382-2626
Fax
(712) 382-1931
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2009

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 110745 NE
Family Nurse Practitioner 363LF0000X A096018 IA Primary

Addresses

Primary practice location

1219 Main St
Hamburg, IA 51640-1300

Mailing address

1219 Main St
Hamburg, IA 51640-1300
Phone (712) 382-2626

Other identifiers 1

IdentifierTypeStateIssuer
0476846MedicaidIA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050824000689 IA Practitioner - Nurse Practitioner 5890688816 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery County Memorial HospitalGroup PAC ID 9032015805, shared by 7 NPIs, 43 clinicians

Practice addresses (Care Compare)

2301 Eastern Ave
Red Oak, IA 51566-1300
Phone (712) 623-7000

2959 US Hwy 275
Hamburg, IA 51640-5052
Phone (712) 382-1515

Hospital & facility affiliations

  • Montgomery County Memorial Hospital Hospital, Red Oak, IA, CCN 161363
  • George C Grape Community Hospital Hospital, Hamburg, IA, CCN 161324

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A096018IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery County Memorial Hospital Family CurrentSince May 1, 2023 Accepting new patients
Community Hospital Inc CurrentSince May 19, 2023 Accepting new patients
Community Hospital Inc Current Accepting new patients
Community Hospital Inc CurrentSince May 19, 2023 Accepting new patients
Montgomery County Memorial Hospital Current Accepting new patients
Montgomery County Memorial Hospital CurrentSince May 1, 2023 Accepting new patients

Locations

2959 US Highway 275
Hamburg, IA 51640
Phone 71238215158070

2959 US Highway 275
#C
Hamburg, IA 51640

2301 Eastern Ave
Red Oak, IA 51566
Phone (712) 623-7270

Organizations & group practices 6

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

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232928000000",
    "number": "1891768024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 MAIN ST",
            "city": "HAMBURG",
            "state": "IA",
            "postal_code": "516401300",
            "telephone_number": "712-382-2626",
            "fax_number": "712-382-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 MAIN ST",
            "city": "HAMBURG",
            "state": "IA",
            "postal_code": "516401300",
            "telephone_number": "712-382-2626",
            "fax_number": "712-382-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2009-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "110745",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A096018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0476846",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, IA

Sources for this page

Verify at the official NPI Registry.