Individual provider Active NPI

Michelle B Nepple, PAC

  • Physician Assistant
  • Waterloo, IA
National Provider Identifier
1902893779
Registry record updated Oct 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1505 Issued in IA
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
33583OtherIAWELLMARK BCBS

Other names 1

  • Michelle B Moore Former name

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
I20031112000128 IA Practitioner - Physician Assistant 0840103115 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Group practices
The Finley HospitalGroup PAC ID 5092622944, 84 clinicians

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

LicenseStateTypeSpecialty
001505IAMDMental Health Counselor
1505IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allen Memorial Hospital Corporation Physician Assistant CurrentSince Jul 31, 2016 Accepting new patients
The Finley Hospital Physician Assistant CurrentSince Jun 4, 2025 Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Nov 1, 2017 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Allen Memorial Hospital Corporation CurrentSince Oct 4, 2025 Accepting new patients
Salahuddin Syed MD PC Current Accepting new patients
The Finley Hospital CurrentSince Jun 4, 2025 Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Nov 1, 2017 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.