Individual provider Active NPI

Taylor M Ehlert, NP

  • Family Nurse Practitioner
  • Missouri Valley, IA
National Provider Identifier
1922736800
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A170252 Issued in IA
Practice address
809 Elm St
Missouri Valley, IA 51555-1140
Phone
(712) 642-2794
Fax
(712) 642-9338
NPI assigned
Aug 10, 2022
Last updated
Oct 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A170252 IA
Family Nurse Practitioner 363LF0000X A170252 IA Primary

Addresses

Primary practice location

809 Elm St
Missouri Valley, IA 51555-1140

Mailing address

809 Elm St
Missouri Valley, IA 51555-1140
Phone (712) 642-2794

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
I20220928002461 IA Practitioner - Nurse Practitioner 4486030483 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Health Community Memorial Hospital of Missouri Valley IowaGroup PAC ID 3678482130, shared by 8 NPIs, 28 clinicians

Practice addresses (Care Compare)

518 Lincoln Way
Woodbine, IA 51579-1238
Phone (712) 647-2566

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A170252IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Health Community Memorial Hospital of Missouri Valley Iowa Current Accepting new patients
Alegent Health Community Memorial Hospital of Missouri Valley, Iowa CurrentSince Oct 18, 2022 Accepting new patients
Alegent Health Community Memorial Hospital of Missouri Valley, Iowa CurrentSince Oct 18, 2022 Accepting new patients
Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Current Accepting new patients
Alegent Creighton Clinic Past Accepting new patients

Locations

809 Elm St
Missouri Vly, IA 51555
Phone (712) 642-2794

631 N 8th St
Mo Valley, IA 51555
Phone (712) 642-2784

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": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1922736800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 ELM ST",
            "city": "MISSOURI VALLEY",
            "state": "IA",
            "postal_code": "515551140",
            "telephone_number": "712-642-2794",
            "fax_number": "712-642-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 ELM ST",
            "city": "MISSOURI VALLEY",
            "state": "IA",
            "postal_code": "515551140",
            "telephone_number": "712-642-2794",
            "fax_number": "712-642-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHLERT",
        "first_name": "TAYLOR",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A170252",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A170252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri Valley, IA

Sources for this page

Verify at the official NPI Registry.