Individual provider Active NPI

Abby Doering, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Waterloo, IA
National Provider Identifier
1962025767
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G158857 Issued in IA
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

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 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
I20200803001721 IA Practitioner - Nurse Practitioner 5496170847 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
G158857IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation CurrentSince Apr 20, 2021 Accepting new patients
Allen Memorial Hospital Corporation CurrentSince Jul 28, 2020 Accepting new patients
Allen Memorial Hospital Corporation CurrentSince Jul 28, 2020 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.