NPIMap

Individual provider Active NPI

Andrea Lynn Venteicher, MD

  • Family Medicine Physician
  • Waukon, IA
National Provider Identifier
1902896046
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36110 Issued in IA
Practice address
120 2ND Ave SE
Waukon, IA 52172-2073
Phone
(563) 568-3000
Fax
(563) 568-3337
NPI assigned
Oct 27, 2005
Last updated
May 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36110 IA Primary

Addresses

Primary practice location

120 2ND Ave SE
Waukon, IA 52172-2073

Mailing address

120 2ND Ave SE
Waukon, IA 52172-2073
Phone (563) 568-3000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address HIM@nhmhn.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051018000289 IA Practitioner - Family PracticePractitioner - Emergency Medicine 8224054440 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36110IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Mercy Medical Center-Dyersville CurrentSince Jun 10, 2024 Accepting new patients
Pocahontas Community Hospital Current Accepting new patients
Sumner Community Club Current Accepting new patients
Mercy Medical Center - New Hampton Family Medicine CurrentSince Aug 15, 2018 Accepting new patients
Pocahontas Community Hospital CurrentSince Feb 10, 2024 Accepting new patients
Mercy Medical Center New Hampton CurrentSince Aug 15, 2018 Accepting new patients
Mercy Medical Center New Hampton Current Accepting new patients
Floyd County Memorial Hospital Commission Family Medicine Past Accepting new patients

Locations

1111 3rd St SW
Dyersville, IA 52040
Phone (563) 875-2953

1600 1st St E
Independence, IA 50644
Phone (319) 332-0999

308 N Maple Ave
New Hampton, IA 50659
Phone (641) 394-2151

606 NW 7th St
Pocahontas, IA 50574
Phone (712) 335-3501

909 W 1st St
Sumner, IA 50674
Phone (563) 578-3275

Interoperability endpoints

  • Direct secure messaging: aventeicher3927511@direct.trinity-health.org
  • Direct secure messaging: aventeicher514135@direct.unitypoint.org
  • Direct secure messaging: him@nhmhn.cernerdirect.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1902896046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 2ND AVE SE",
            "city": "WAUKON",
            "state": "IA",
            "postal_code": "521722073",
            "telephone_number": "563-568-3000",
            "fax_number": "563-568-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 2ND AVE SE",
            "city": "WAUKON",
            "state": "IA",
            "postal_code": "521722073",
            "telephone_number": "563-568-3000",
            "fax_number": "563-568-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTEICHER",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "36110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HIM@nhmhn.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "MercyOne New Hampton Medical Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "308 N Maple Ave",
            "city": "New Hampton",
            "state": "IA",
            "country_code": "US",
            "postal_code": "506591142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waukon, IA

Sources for this page

Verify at the official NPI Registry.