Active NPI
Michelle B Nepple, PAC
- Physician Assistant
- Waterloo, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1505
- Practice address
- 1717 W Ridgeway Ave
Waterloo, IA 50701 - Phone
- (319) 233-0340
- Fax
- (319) 233-0666
- NPI assigned
- Oct 5, 2005
- Last updated
- Oct 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1505 | IA | Primary |
Addresses
Primary practice location
1717 W Ridgeway Ave
Waterloo, IA 50701
Mailing address
1717 W Ridgeway Ave
Waterloo, IA 50701-4543
Phone (319) 233-0340
Other practice location 1
2413 W Ridgeway Ave
Waterloo, IA 50701-4306
Phone (319) 233-0340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33583 | Other | IA | WELLMARK BCBS |
Other names 1
- Michelle B Moore
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1500 Delhi St
Suite 4300
Dubuque, IA 52001-6319
Phone (563) 557-5971
1717 W Ridgeway Ave
Uph Allen Hospital Center for Urology
Waterloo, IA 50701-4543
Phone (319) 233-0340
1825 Logan Ave
Waterloo, IA 50703-1916
Phone (319) 235-3913
233 Vold Dr
Waterloo, IA 50703-1256
Phone 31923550900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001505 | IA | MD | Mental Health Counselor |
| 1505 | IA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allen Memorial Hospital Corporation | Physician Assistant | Current | Accepting new patients |
| The Finley Hospital | Physician Assistant | Current | Accepting new patients |
| Unitypoint Health - Marshalltown | Current | Accepting new patients | |
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Allen Memorial Hospital Corporation | Current | Accepting new patients | |
| Salahuddin Syed MD PC | Current | Accepting new patients | |
| The Finley Hospital | Current | Accepting new patients | |
| Unitypoint Health - Marshalltown | Current | Accepting new patients | |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients |
Locations
1500 Delhi St
Ste 4300
Dubuque, IA 52001
Phone (563) 557-5971
51 Unitypoint Way
Ste 100
Marshalltown, IA 50158
Phone (641) 844-6259
55 Unitypoint Way
Marshalltown, IA 50158
Phone (641) 754-5145
3 S 4th Ave
Marshalltown, IA 50158
Phone (641) 754-5145
1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886
2413 W Ridgeway Ave
Waterloo, IA 50701
Phone (319) 233-0340
1717 W Ridgeway Ave
Waterloo, IA 50701
Phone (319) 233-0340
Interoperability endpoints
- mnepple200245@direct.unitypoint.org
Organizations & group practices 9
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.
-
dba Allen Hospital
- Women's Health Nurse Practitioner
- Waterloo, IA
- NPI 1891772927
-
- Emergency Medicine Physician
- Marshalltown, IA
- NPI 1164957593
-
dba Allen Hospital
- Emergency Medicine Physician
- Waterloo, IA
- NPI 1346292521
Physician Assistant
-
- Anatomic Pathology & Clinical Pathology Physician
- Marshalltown, IA
- NPI 1083054464
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
dba UnityPoint Health - Provider Services
- Emergency Medicine Physician
- Dubuque, IA
- NPI 1134176308
Physician Assistant
-
dba Unitypoint Clinic - Family Medicine - Rohlf Memorial
- Rural Health Clinic/Center
- Waverly, IA
- NPI 1124655006
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Allen Hospital
- General Acute Care Hospital
- Waterloo, IA
- NPI 1336231091
-
- Critical Access Hospital
- Grundy Center, IA
- NPI 1821055989
-
dba Unitypoint Health - Finley Hosptial
- General Acute Care Hospital
- Dubuque, IA
- NPI 1942392600
-
- Critical Access Hospital
- Waverly, IA
- NPI 1447299953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539302400000",
"number": "1902893779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 W RIDGEWAY AVE",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507014543",
"telephone_number": "319-233-0340",
"fax_number": "319-233-0666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 W RIDGEWAY AVE",
"city": "WATERLOO",
"state": "IA",
"postal_code": "50701",
"telephone_number": "319-233-0340",
"fax_number": "319-233-0666"
}
],
"practiceLocations": [
{
"address_1": "2413 W Ridgeway Ave",
"address_purpose": "LOCATION",
"city": "Waterloo",
"state": "IA",
"postal_code": "507014306",
"country_code": "US",
"telephone_number": "319-233-0340",
"fax_number": "319-233-0666",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEPPLE",
"first_name": "MICHELLE",
"middle_name": "B",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-05",
"last_updated": "2018-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "1505",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "33583",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "MOORE",
"middle_name": "B",
"credential": "PAC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.