Individual provider Active NPI

Rachel Lee Vaughn, ARNP

  • Acute Care Nurse Practitioner
  • Waverly, IA
National Provider Identifier
1972289601
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
H174933 Issued in IA
Practice address
312 9TH St SW
Waverly, IA 50677-2999
Phone
(319) 352-4120
NPI assigned
Jun 27, 2023
Last updated
Jun 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X H174933 IA Primary

Addresses

Primary practice location

312 9TH St SW
Waverly, IA 50677-2999

Mailing address

3919 Heritage Rd
Cedar Falls, IA 50613-5553
Phone (319) 239-5923

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
I20230807001018 IA Practitioner - Nurse Practitioner 8820459829 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waverly Health CenterGroup PAC ID 8820996762, shared by 10 NPIs, 44 clinicians

Practice addresses (Care Compare)

312 9TH St SW
Waverly, IA 50677-2929
Phone (319) 352-4120

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Waverly Health Center CurrentSince Jul 27, 2023 Accepting new patients
Waverly Health Center CurrentSince Jul 27, 2023 Accepting new patients
Waverly Health Center CurrentSince Aug 7, 2023 Accepting new patients
Waverly Health Center Past Accepting new patients

Locations

1001 Mason Way
Shell Rock, IA 50670
Phone (319) 885-6530

312 9th St SW
Waverly, IA 50677
Phone (319) 352-4120

312 9th St SW
Ste 3300
Waverly, IA 50677
Phone (319) 483-1400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1972289601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3919 HERITAGE RD",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506135553",
            "telephone_number": "319-239-5923"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "RACHEL",
        "middle_name": "LEE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IA",
            "license": "H174933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, IA

Sources for this page

Verify at the official NPI Registry.