Individual provider Active NPI

Ann L Rathe, MD

  • Psychiatry Physician
  • Waverly, IA
National Provider Identifier
1952310195
Registry record updated Mar 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
39043 Issued in IA
Practice address
312 9TH St SW
Waverly Health Center
Waverly, IA 50677-2929
Phone
(319) 483-4074
Fax
(319) 483-1383
NPI assigned
Aug 5, 2006
Last updated
Mar 30, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 39043 IA Primary

Addresses

Primary practice location

312 9TH St SW
Waverly Health Center
Waverly, IA 50677-2929

Mailing address

312 9TH St SW
Waverly Health Center
Waverly, IA 50677-2929
Phone (319) 483-4074

Other identifiers 1

IdentifierTypeStateIssuer
0074435MedicaidIA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100830000889 IA Practitioner - PsychiatryPractitioner - Neuropsychiatry 6709854516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Iowa, RJ & L Carver College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waverly Health CenterGroup PAC ID 8820996762, 44 clinicians

Practice addresses (Care Compare)

312 9TH St SW
Waverly, IA 50677-2929
Phone (319) 352-4120

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39043IAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Waverly Health Center CurrentSince Apr 28, 2013 Accepting new patients
Waverly Health Center Current Accepting new patients
Waverly Health Center CurrentSince Apr 28, 2013 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
South Central Montana Regional Mental Health Center Psychiatry Past Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Black Hawk-Grundy Mental Health Center Inc. PastSince Jul 1, 1990 Accepting new patients
High Plains Psychiatric Assoc PC Psychiatry PastSince Sep 27, 2004 Accepting new patients

Locations

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

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

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

312 9th St SW
Ste 2200
Waverly, IA 50677
Phone (319) 483-4074

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

Interoperability endpoints

  • Direct secure messaging: ann.rathe@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, 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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364601600000",
    "number": "1952310195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 9TH ST SW",
            "address_2": "WAVERLY HEALTH CENTER",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772929",
            "telephone_number": "319-483-4074",
            "fax_number": "319-483-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 9TH ST SW",
            "address_2": "WAVERLY HEALTH CENTER",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772929",
            "telephone_number": "319-483-4074",
            "fax_number": "319-483-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATHE",
        "first_name": "ANN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2013-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "39043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074435",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, IA

Sources for this page

Verify at the official NPI Registry.