Individual provider Active NPI

Jacob Nagel, PA-C

  • Physician Assistant
  • Waverly, IA
National Provider Identifier
1972198653
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
116131 Issued in IA
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

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220912002907 IA Practitioner - Physician Assistant 3476938408 Reassigns benefits to 1 organization

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
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

  • Waverly Health Center Hospital, Waverly, IA, CCN 161339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
116131IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Waverly Health Center Physician Assistant CurrentSince Sep 27, 2022 Accepting new patients
Waverly Health Center CurrentSince Sep 27, 2022 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.

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": "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

Verify at the official NPI Registry.