Individual provider Active NPI

Annette Christine Geary, FNP-BC

  • Nurse Practitioner
  • Waterloo, IA
National Provider Identifier
1952362683
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A104055 Issued in IA
Practice address
3812 Pheasant LN
Waterloo, IA 50701-5200
Phone
(319) 236-3444
Fax
(319) 236-0257
NPI assigned
Mar 31, 2006
Last updated
Jan 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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 A104055 IA Primary

Addresses

Primary practice location

3812 Pheasant LN
Waterloo, IA 50701-5200

Mailing address

3812 Pheasant LN
Waterloo, IA 50701-5200
Phone (319) 236-3444

Other identifiers 2

IdentifierTypeStateIssuer
IA0111OtherIAJOHN DEERE HEALTHCARE
0472373MedicaidIA

Other names 1

  • Ms. Annette Christine Rahlf Former name

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
I20040902000246 IA Practitioner - Nurse Practitioner 8527033414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates PCGroup PAC ID 0345132049, 5 clinicians

Practice addresses (Care Compare)

3812 Pheasant LN
Waterloo, IA 50701-5200
Phone (319) 236-3444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.15 of 100Reported as individual
Quality
96.29
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates PC CurrentSince May 31, 2005 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

220 Southbrooke Dr
Waterloo, IA 50702
Phone (319) 236-7720

3812 Pheasant Ln
Waterloo, IA 50701
Phone (319) 236-3444

Organizations & group practices 2

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1952362683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 PHEASANT LN",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507015200",
            "telephone_number": "319-236-3444",
            "fax_number": "319-236-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 PHEASANT LN",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507015200",
            "telephone_number": "319-236-3444",
            "fax_number": "319-236-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEARY",
        "first_name": "ANNETTE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A104055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HEALTHCARE",
            "identifier": "IA0111",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0472373",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNETTE",
            "last_name": "RAHLF",
            "middle_name": "CHRISTINE",
            "prefix": "MS.",
            "credential": "RN, ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.