Individual provider Active NPI

Kelsey Masters

  • Nurse Practitioner
  • Waverly, IA
National Provider Identifier
1922666528
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A154695 Issued in IA
Practice address
312 9TH St SW
Waverly, IA 50677-2929
Phone
(319) 352-4120
NPI assigned
May 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A154695 IA Primary

Addresses

Primary practice location

312 9TH St SW
Waverly, IA 50677-2929

Mailing address

2681 Amherst PL
Nashua, IA 50658-9438
Phone (563) 920-6650

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
I20190821002318 IA Practitioner - Nurse Practitioner 1951639418 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
50.17 of 100Reported as apm
Quality
55.61
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A154695IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Waverly Health Center CurrentSince Jun 6, 2006 Accepting new patients
People'S Memorial Hospital CurrentSince Sep 1, 2021 Accepting new patients
People'S Memorial Hospital CurrentSince Sep 1, 2021 Accepting new patients
Waverly Health Center CurrentSince Jun 6, 2006 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Waverly Health Center CurrentSince Sep 8, 2019 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

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

202 Wildcat Way
Janesville, IA 50647
Phone (319) 987-2361

80 Amherst Blvd
Ste 400
Nashua, IA 50658
Phone (641) 435-4133

1001 Mason Way
Shell Rock, IA 50670
Phone (319) 885-6530

100 Wartburg Blvd
Ste 1392
Waverly, IA 50677
Phone (319) 346-9783

312 9th St SW
Ste 3300
Waverly, IA 50677
Phone (319) 483-1400

312 9th St SW
Waverly, IA 50677
Phone (319) 352-4120

312 9th St SW
Ste 2300
Waverly, IA 50677
Phone (319) 483-1390

Interoperability endpoints

  • Direct secure messaging: kmasters606223@direct.unitypoint.org
  • Direct secure messaging: kelsey.masters@waverly.eclinicaldirectplus.com

Organizations & group practices 8

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": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1922666528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2681 AMHERST PL",
            "city": "NASHUA",
            "state": "IA",
            "postal_code": "506589438",
            "telephone_number": "563-920-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 9TH ST SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772929",
            "telephone_number": "319-352-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTERS",
        "first_name": "KELSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A154695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, IA

Sources for this page

Verify at the official NPI Registry.