Active NPI
Jacob Nagel, PA-C
- Physician Assistant
- Waverly, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 116131
- Practice address
- 312 9TH St SW
Waverly, IA 50677-2999 - Phone
- (319) 352-4120
- Fax
- (319) 352-3992
- NPI assigned
- Mar 4, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 116131 | IA | Primary |
Addresses
Primary practice location
312 9TH St SW
Waverly, IA 50677-2999
Mailing address
34355 170TH St
Dike, IA 50624-8029
Phone (515) 257-0079
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
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
312 9TH St SW
Waverly, IA 50677-2929
Phone (319) 352-4120
Hospital & facility affiliations
- Waverly Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116131 | IA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waverly Health Center | Physician Assistant | Current | Accepting new patients |
| Waverly Health Center | Current | 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
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 3300
Waverly, IA 50677
Phone (319) 483-1400
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 and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Janesville, IA
- NPI 1184094534
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Waverly, IA
- NPI 1447299953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1972198653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34355 170TH ST",
"city": "DIKE",
"state": "IA",
"postal_code": "506248029",
"telephone_number": "515-257-0079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 9TH ST SW",
"city": "WAVERLY",
"state": "IA",
"postal_code": "506772999",
"telephone_number": "319-352-4120",
"fax_number": "319-352-3992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGEL",
"first_name": "JACOB",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-04",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "116131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waverly, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.