Individual provider Active NPI

Christina Metternich, MSN, APN-FNP

  • Family Nurse Practitioner
  • West Burlington, IA
National Provider Identifier
1902355233
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A150875 Issued in IA
Practice address
1221 S Gear Ave
West Burlington, IA 52655-1681
Phone
(319) 768-1000
Fax
(319) 768-4215
NPI assigned
Sep 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A150875 IA Primary

Addresses

Primary practice location

1221 S Gear Ave
West Burlington, IA 52655-1681

Mailing address

1020 Francis Sartory Rd
Warsaw, IL 62379-1836
Phone (217) 440-9393

Other practice location 1

1102 N County Road 700
Warsaw, IL 62379-3011
Phone (217) 256-4100

Other names 1

  • Christina Stassel Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address christina.metternich@direct.greatriverhealth.org Direct

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
I20180924001137 IA Practitioner - Nurse Practitioner 0042598013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Iowa Regional Medical Center IncGroup PAC ID 3870496417, 259 clinicians

Practice addresses (Care Compare)

1221 S Gear Ave
West Burlignton, IA 52655-1679
Phone (319) 768-1000

1225 S Gear Ave
West Burlington, IA 52655-1686

5409 Ave O
Fort Madison, IA 52627-9601

5445 Ave O
Fort Madison, IA 52627-9611
Phone (319) 376-2134

Hospital & facility affiliations

  • Southeast Iowa Regional Medical Center Hospital, West Burlington, IA, CCN 160057

Merit-based Incentive Payment System (MIPS)

Final score
77.06 of 100Reported as group
Quality
64.36
Promoting interoperability
81
Improvement activities
40
Cost
75.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Iowa Regional Medical Center, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Henry County Health Center Inc CurrentSince Mar 15, 2023 Accepting new patients
Henry County Health Center, Inc. Past Accepting new patients

Locations

5409 Avenue O
Ste 103
Fort Madison, IA 52627
Phone (319) 372-6280

5445 Avenue O
Fort Madison, IA 52627
Phone (319) 372-6530

407 S White St
Mt Pleasant, IA 52641
Phone (319) 385-6110

1225 S Gear Ave
Ste 152
West Burlington, IA 52655
Phone (319) 753-1220

1225 S Gear Ave
Ste 254
West Burlington, IA 52655
Phone (319) 768-3200

1223 S Gear Ave
Ste 205
West Burlington, IA 52655
Phone (319) 752-1502

1221 S Gear Ave
West Burlington, IA 52655
Phone (319) 768-3622

Interoperability endpoints

  • Direct secure messaging: christina.metternich@direct.greatriverhealth.org

Organizations & group practices 3

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 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": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1902355233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 FRANCIS SARTORY RD",
            "city": "WARSAW",
            "state": "IL",
            "postal_code": "623791836",
            "telephone_number": "217-440-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 S GEAR AVE",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551681",
            "telephone_number": "319-768-1000",
            "fax_number": "319-768-4215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 N County Road 700",
            "address_purpose": "LOCATION",
            "city": "Warsaw",
            "state": "IL",
            "postal_code": "623793011",
            "country_code": "US",
            "telephone_number": "217-256-4100",
            "fax_number": "217-256-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "METTERNICH",
        "first_name": "CHRISTINA",
        "credential": "MSN, APN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-28",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A150875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christina.metternich@direct.greatriverhealth.org",
            "affiliation": "N",
            "endpointDescription": "great river health direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1221 S Gear Ave",
            "city": "West Burlington",
            "state": "IA",
            "country_code": "US",
            "postal_code": "526551681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "STASSEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Burlington, IA

Sources for this page

Verify at the official NPI Registry.