Laccey Louise Crimmins, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A162720 Issued in IA

Practice address

802 Kenyon Rd
Fort Dodge, IA 50501-5740

Phone

(515) 573-3101

Fax

(515) 574-6754

NPI assigned

Jan 27, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Laccey Louise Liska Former name

Electronic endpoints 1

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stewart Memorial Community HospitalGroup PAC ID 4486563707, 36 clinicians

Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Stewart Memorial Community Hospital Hospital, Lake City, IA, CCN 161350
• Trinity Regional Medical Center Hospital, Fort Dodge, IA, CCN 160016
• Humboldt County Memorial Hospital Hospital, Humboldt, IA, CCN 161334

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lliska299252@direct.unitypoint.org

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.

• Iowa Physicians Clinic Medical Foundation

  • General Practice Physician
  • West Des Moines, IA
  • NPI 1366425274

  Family Medicine, IA

  Medicare reassignment Care Compare group NPD
• Stewart Memorial Community Hospital

  • Critical Access Hospital
  • Lake City, IA
  • NPI 1063497188

  IA

  Medicare reassignment Care Compare group NPD
• Stewart Memorial Community Hospital

  • Rural Health Clinic/Center
  • Lake City, IA
  • NPI 1285652909

  Family Medicine, IA

  Medicare reassignment Care Compare group NPD
• Trinity Regional Medical Center

  • Emergency Medicine Physician
  • Fort Dodge, IA
  • NPI 1073594156

  IA

  Medicare reassignment NPD
• Stewart Memorial Community Hospital

  • Rural Health Clinic/Center
  • Lake View, IA
  • NPI 1073549853

  Family Medicine

  Care Compare group NPD (past)
• Iowa Physicians Clinic Medical Foundation

  • Clinical Medical Laboratory
  • Cedar Falls, IA
  • NPI 1538617840
  Care Compare group
• Stewart Memorial Community Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Lake City, IA
  • NPI 1063598175
  Care Compare group
• Stewart Memorial Community Hospital

  • Rural Health Clinic/Center
  • Rockwell City, IA
  • NPI 1316240104
  Care Compare group
• Stewart Memorial Community Hospital

  • Rural Health Clinic/Center
  • Gowrie, IA
  • NPI 1588690267
  Care Compare group
• St Luke'S Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Stewart Memorial Community Hospital

  • Family Medicine Physician
  • Lake City, IA
  • NPI 1013058924

  Family Medicine

  NPD
• Stewart Memorial Community Hospital

  • Certified Registered Nurse Anesthetist
  • Lake City, IA
  • NPI 1831230747
  NPD

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

• Humboldt County Memorial Hospital

  • Critical Access Hospital
  • Humboldt, IA
  • NPI 1194702977

  Hospital

  Care Compare affiliation
• Stewart Memorial Community Hospital

  • Critical Access Hospital
  • Lake City, IA
  • NPI 1063497188

  Hospital

  Care Compare affiliation
• Trinity Regional Medical Center

  • General Acute Care Hospital
  • Fort Dodge, IA
  • NPI 1487759858

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1902497597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2476 170TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505018555",
            "telephone_number": "515-408-5155",
            "fax_number": "515-574-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 KENYON RD",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015740",
            "telephone_number": "515-573-3101",
            "fax_number": "515-574-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIMMINS",
        "first_name": "LACCEY",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A162720",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A162720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F01210805",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laccey.crimmins@unitypoint.org",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "802 Kenyon Rd",
            "city": "Fort Dodge",
            "state": "IA",
            "country_code": "US",
            "postal_code": "505015740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LACCEY",
            "last_name": "LISKA",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vanessa Marie Cortez, DPM
• County of Webster
• County of Webster
• County of Webster
• Jacob Crimmins, PHARMD
• Allyson Croo
• Angela Marie Crosby, LMHC
• Bobbi Christine Cummins, ARNP
• Daniel Pharmacy Inc
• John Daniel

• All providers in Fort Dodge, IA
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.