Angela Vervoort, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

002350 Issued in IA

Practice address

805 Johnson St SW
Cascade, IA 52033-8636

Phone

(563) 852-7756

Fax

(563) 852-7759

NPI assigned

Dec 19, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, IA2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Associates Clinic P CGroup PAC ID 3870491228, 228 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospice of Dubuque Hospice, Dubuque, IA, CCN 161514
• Mercyone Dubuque Medical Center Hospital, Dubuque, IA, CCN 160069
• Mercyone Dyersville Medical Center Hospital, Dyersville, IA, CCN 161378
• Jones Regional Medical Center Hospital, Anamosa, IA, CCN 161306
• Jackson County Regional Health Center Hospital, Maquoketa, IA, CCN 161329
• Finley Hospital Hospital, Dubuque, IA, CCN 160117

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Medical Associates Clinic P C

  • Multi-Specialty Clinic/Center
  • Dubuque, IA
  • NPI 1457300790

  IA

  Medicare reassignment Care Compare group NPD
• Edward Health Ventures

  • Multi-Specialty Clinic/Center
  • Bolingbrook, IL
  • NPI 1962452912

  IL

  Medicare reassignment NPD
• Edward Health Ventures

  • Multi-Specialty Clinic/Center
  • Naperville, IL
  • NPI 1306896378
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospice of Dubuque

  • Community Based Hospice Care Agency
  • Dubuque, IA
  • NPI 1801890892

  Hospice

  Care Compare affiliation
• Jackson County Public Hospital

  • Critical Access Hospital
  • Maquoketa, IA
  • NPI 1912960758

  Hospital

  Care Compare affiliation
• Mercy Medical Center-Dubuque

  • General Acute Care Hospital
  • Dubuque, IA
  • NPI 1659348506

  Hospital

  Care Compare affiliation
• Mercy Medical Center-Dyersville

  • Critical Access Hospital
  • Dyersville, IA
  • NPI 1205816725

  Hospital

  Care Compare affiliation
• St Luke'S Jones Regional Medical Center

  • Critical Access Hospital
  • Anamosa, IA
  • NPI 1164514741

  Hospital

  Care Compare affiliation
• The Finley Hospital

  • General Acute Care Hospital
  • Dubuque, IA
  • NPI 1942392600

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1982940920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 JOHNSON ST SW",
            "city": "CASCADE",
            "state": "IA",
            "postal_code": "520338636",
            "telephone_number": "563-852-7756",
            "fax_number": "563-852-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 JOHNSON ST SW",
            "city": "CASCADE",
            "state": "IA",
            "postal_code": "520338636",
            "telephone_number": "563-852-7756",
            "fax_number": "563-852-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERVOORT",
        "first_name": "ANGELA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-19",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "002350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reiff Ambulance Service LTD
• River Bend Assisted Living
• Debra Ann Rohr, ARNP-BC
• Shady Rest, Inc.
• Paula Ann Simon, M.A. CCC-SLP

• All providers in Cascade, IA
• Medical Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.

Verify at the official NPI Registry.