Individual provider Active NPI

Rhian Gronewold, ARNP-BC

  • Family Nurse Practitioner
  • Waterloo, IA
National Provider Identifier
1912374141
Registry record updated Jan 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A135130 Issued in IA
Practice address
3812 Pheasant LN
Waterloo, IA 50701-5200
Phone
(319) 236-3444
Fax
(319) 236-0257
NPI assigned
Aug 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2017

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 A135130 IA Primary

Addresses

Primary practice location

3812 Pheasant LN
Waterloo, IA 50701-5200

Mailing address

3812 Pheasant LN
Waterloo, IA 50701-5200
Phone (319) 236-3444

Other identifiers 2

IdentifierTypeStateIssuer
1912374141OtherIANPI
1629032404OtherEMPLOYER (BUSINESS) NPI

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
I20150925000314 IA Practitioner - Nurse Practitioner 2769790740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates PCGroup PAC ID 0345132049, 5 clinicians

Practice addresses (Care Compare)

3812 Pheasant LN
Waterloo, IA 50701-5200
Phone (319) 236-3444

Merit-based Incentive Payment System (MIPS)

Final score
98.17 of 100Reported as individual
Quality
96.34
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates PC CurrentSince Jan 26, 2017 Accepting new patients

Locations

3812 Pheasant Ln
Waterloo, IA 50701
Phone (319) 236-3444

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485561600000",
    "number": "1912374141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 PHEASANT LN",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507015200",
            "telephone_number": "319-236-3444",
            "fax_number": "319-236-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 PHEASANT LN",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507015200",
            "telephone_number": "319-236-3444",
            "fax_number": "319-236-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONEWOLD",
        "first_name": "RHIAN",
        "credential": "ARNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2017-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A135130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1912374141",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER (BUSINESS) NPI",
            "identifier": "1629032404",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.