Active NPI
Carmen Mundt, ARNP
- Nurse Practitioner
- Waterloo, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- H091730
- Practice address
- 1753 W Ridgeway Ave
Ste 107
Waterloo, IA 50701-4544 - Phone
- (319) 833-5907
- Fax
- (319) 833-5908
- NPI assigned
- Jul 14, 2015
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | H091730 | IA | Primary |
Addresses
Primary practice location
1753 W Ridgeway Ave
Ste 107
Waterloo, IA 50701-4544
Mailing address
PO Box 2758
4150 Kimball Avenue
Waterloo, IA 50704-2758
Phone (319) 235-5390
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
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1825 Logan Ave
Waterloo, IA 50703-1916
Phone (319) 235-3913
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H091730 | IA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedar Valley Medical Specialists PC | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Allen Memorial Hospital Corporation | Nurse Practitioner | Current | Accepting new patients |
| Allen Memorial Hospital Corporation | Current | Accepting new patients | |
| Cedar Valley Medical Specialists PC | Current | Accepting new patients | |
| Cedar Valley Medical Specialists PC | Current | Accepting new patients |
Locations
146 W Dale St
Ste 201
Waterloo, IA 50703
Phone (319) 234-4431
1753 W Ridgeway Ave
Ste 107
Waterloo, IA 50701
Phone (319) 833-5907
1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886
Interoperability endpoints
- cmundt218320@direct.unitypoint.org
Organizations & group practices 6
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.
-
- Women's Health Nurse Practitioner
- Waterloo, IA
- NPI 1891772927
-
- Emergency Medicine Physician
- Waterloo, IA
- NPI 1346292521
Nurse Practitioner
-
- Orthopaedic Surgery Physician
- Waterloo, IA
- NPI 1497794242
-
- Durable Medical Equipment & Medical Supplies
- Vinton, IA
- NPI 1659934180
-
- Radiology Clinic/Center
- Waterloo, IA
- NPI 1841245586
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waterloo, IA
- NPI 1336231091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436832000000",
"number": "1912381443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2758",
"address_2": "4150 KIMBALL AVENUE",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507042758",
"telephone_number": "319-235-5390",
"fax_number": "319-233-1630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1753 W RIDGEWAY AVE",
"address_2": "STE 107",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507014544",
"telephone_number": "319-833-5907",
"fax_number": "319-833-5908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNDT",
"first_name": "CARMEN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-14",
"last_updated": "2015-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "H091730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 14, 2015; 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.