Individual provider Active NPI

Kim Lee Keiser, ARNP

  • Family Nurse Practitioner
  • Marion, IA
National Provider Identifier
1912425380
Registry record updated Sep 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A129916 Issued in IA
Practice address
3701 Katz Dr
Marion, IA 52302-3871
Phone
(319) 373-3022
NPI assigned
Sep 6, 2017
Last updated
Sep 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 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 A129916 IA Primary

Addresses

Primary practice location

3701 Katz Dr
Marion, IA 52302-3871

Mailing address

7126 E Park CT NE
Cedar Rapids, IA 52402-7470
Phone (319) 423-5113

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
I20171009000449 IA Practitioner - Nurse Practitioner 2668747270 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Physician Associates IncGroup PAC ID 1355242496, 103 clinicians
Mercy Care Management, IncGroup PAC ID 2466343363, 35 clinicians

Practice addresses (Care Compare)

1790 Blairs Ferry Rd
Hiawatha, IA 52233-2033
Phone (319) 378-8362

5264 Council St NE
100 Mercycare North
Cedar Rapids, IA 52402-2477
Phone (319) 221-8444

701 10TH St SE
Cedar Rapids, IA 52403-1251
Phone (319) 221-8991

777 76TH Ave Dr SW
Cedar Rapids, IA 52404-7006

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A129916IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Physician Associates, Inc CurrentSince Sep 18, 2017 Accepting new patients
Mercy Care Management, Inc Family CurrentSince Sep 18, 2017 Accepting new patients
Mercy Physician Associates, Inc Current Accepting new patients
Mercy Care Management, Inc Family CurrentSince Sep 18, 2017 Accepting new patients
Mercy Physician Associates Inc CurrentSince Sep 18, 2017 Accepting new patients

Locations

5264 Council St NE
Ste 100
Cedar Rapids, IA 52402
Phone (319) 221-8444

1790 Blairs Ferry Rd
Hiawatha, IA 52233
Phone (319) 378-8362

300 W May St
Marengo, IA 52301
Phone (319) 462-8011

3701 Katz Dr
Marion, IA 52302
Phone (319) 373-3022

Organizations & group practices 5

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 1

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": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504656000000",
    "number": "1912425380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7126 E PARK CT NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524027470",
            "telephone_number": "319-423-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 KATZ DR",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523023871",
            "telephone_number": "319-373-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEISER",
        "first_name": "KIM",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2017-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A129916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IA

Sources for this page

Verify at the official NPI Registry.