Active NPI
Abby Doering, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Waterloo, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- G158857
- Practice address
- 164 W Dale St
Waterloo, IA 50703-1925 - Phone
- (319) 226-2170
- NPI assigned
- May 27, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | G158857 | IA | Primary |
Addresses
Primary practice location
164 W Dale St
Waterloo, IA 50703-1925
Mailing address
214 Julie CT
Waterloo, IA 50702-3835
Phone (641) 257-7043
Other practice location 1
1825 Logan Ave
Waterloo, IA 50703-1916
Phone (319) 235-3607
Other names 1
- Miss Abby Staudt
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1506 Edgington Ave
Eldora, IA 50627-1624
Phone (641) 939-7777
1825 Logan Ave
Waterloo, IA 50703-1916
Phone (319) 235-3913
4480 Utica Ridge Rd
Bettendorf, IA 52722-1644
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G158857 | IA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Physicians Clinic Medical Foundation | Current | Accepting new patients | |
| Allen Memorial Hospital Corporation | Current | Accepting new patients | |
| Allen Memorial Hospital Corporation | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
700 E University Ave
Des Moines, IA 50316
Phone (515) 263-5120
1250 E 9th St
Des Moines, IA 50316
Phone (515) 241-4300
164 W Dale St
Ste 6B
Waterloo, IA 50703
164 W Dale St
Waterloo, IA 50703
Phone (319) 233-6448
1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886
Interoperability endpoints
- astaudt470592@direct.unitypoint.org
Organizations & group practices 4
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.
-
- Women's Health Nurse Practitioner
- Waterloo, IA
- NPI 1891772927
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
-
- Emergency Medicine Physician
- Waterloo, IA
- NPI 1346292521
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waterloo, IA
- NPI 1336231091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669075200000",
"number": "1962025767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 JULIE CT",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507023835",
"telephone_number": "641-257-7043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 W DALE ST",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507031925",
"telephone_number": "319-226-2170"
}
],
"practiceLocations": [
{
"address_1": "1825 Logan Ave",
"address_purpose": "LOCATION",
"city": "Waterloo",
"state": "IA",
"postal_code": "507031916",
"country_code": "US",
"telephone_number": "319-235-3607",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOERING",
"first_name": "ABBY",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-27",
"last_updated": "2022-11-22",
"certification_date": "2022-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IA",
"license": "G158857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ABBY",
"last_name": "STAUDT",
"prefix": "MISS",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.