MARY GREELEY MEDICAL CENTER (NPI# 1558880336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558880336 |
| Entity Type | Organization |
| Organization Name | MARY GREELEY MEDICAL CENTER |
| Other Organization Name | NURSE PRACTIONER MEDICAL GROUP |
| Practice Address |
1111 Duff Ave Ames IA 50010-5745 |
| Practice Telephone | (515) 239-2011 |
| Practice Fax Number | 5152392060 |
| Mailing Telephone | 5152392011 |
| Mailing Fax Number | 5152392060 |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2017-09-13 |
| Authorized Official Name | BRIAN DIETER (PRESIDENT/CEO) |
| Authorized Official Telephone | 5152392103 |
| Is Organization Subpart | Y |
| Parent Organization Name | - |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1600304 | 05 |
| Other Name | Type Code |
|---|---|
| Nurse Practioner Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467887398 | Mary Greeley Medical Center | Public Health or Welfare | 1114 Duff Ave, Ames, IA 50010-5739 | 2013-09-11 |
| 1750367553 | Mary Greeley Medical Center | Clinic/Center | 2322 E 13th St, Ames, IA 50010-5669 | 2005-12-22 |
| 1285610089 | Mary Greeley Medical Center | Home Health | 1114 Duff Avenue, Ames, IA 50010-5739 | 2005-12-22 |
| 1457337263 | Mary Greeley Medical Center | Hospice Care, Community Based | 400 S Dakota Ave, Ames, IA 50014-7775 | 2005-12-22 |
| 1376529172 | Mary Greeley Medical Center | Clinic/Center | 3120 So 2nd Street, Marshalltown, IA 50158-4614 | 2005-12-22 |
| 1659357457 | Mary Greeley Medical Center | Clinic/Center | 701 Washington Ave, Iowa Falls, IA 50126-2100 | 2005-12-22 |
| 1861990673 | Mary Greeley Medical Center | Registered Nurse | 1111 Duff Ave, Ames, IA 50010-5745 | 2018-01-26 |
| 1447470463 | Mary Greeley Medical Center | Ambulance | 1111 Duff Ave, Ames, IA 50010-5745 | 2007-05-01 |
| 1235115031 | Mary Greeley Medical Center | Rehabilitation Unit | 1111 Duff Ave, Ames, IA 50010-5745 | 2005-12-22 |
| 1366428161 | Mary Greeley Medical Center | Psychiatric Unit | 1111 Duff Ave, Ames, IA 50010-5745 | 2005-12-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MARY GREELEY MEDICAL CENTER | 400 S Dakota Ave, Ames, IA 50014-7775 |
| Colorado Business Entities | Mary Greeley Medical Center | 1111 Duff Ave., Ames, CO 50010 |
| Iowa Business Entities | MARY GREELEY MEDICAL CENTER AUXILIARY | Mary Greeley Medical Center Auxiliary, 1111 Duff Ave, Ames, IA 50010 |
| Street Address |
1111 DUFF AVE |
| City | AMES |
| State | IA |
| Zip Code | 50010-5745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811983695 | Patrick H. Allaire | Anesthesiology | 1111 Duff Ave, Mcfarland Clinic PC, Ames, IA 50010-3014 | 2005-09-27 |
| 1952928236 | Kaitlyn Mary Baumgardner | Nurse Practitioner | 1111 Duff Ave, Ames, IA 50010-5745 | 2020-07-02 |
| 1033730916 | Julie Tarbill | Registered Nurse | 1111 Duff Ave, Ames, IA 50010-5745 | 2020-05-01 |
| 1700423894 | Amanda Van Wyk | Nurse Practitioner | 1111 Duff Ave, Ames, IA 50010-5745 | 2019-12-08 |
| 1962970004 | Mcfarland Clinic, PC | Non-Pharmacy Dispensing Site | 1111 Duff Ave, Ames, IA 50010-5745 | 2018-11-07 |
| 1912485558 | Teresa Heitland | Registered Nurse | 1111 Duff Ave, Ames, IA 50010-5745 | 2018-08-06 |
| 1629556162 | Kelly Flater | Dietitian, Registered | 1111 Duff Ave, Ames, IA 50010-5745 | 2018-08-06 |
| 1861990673 | Mary Greeley Medical Center | Registered Nurse | 1111 Duff Ave, Ames, IA 50010-5745 | 2018-01-26 |
| 1770097826 | Jolene Christensen | Dietitian, Registered | 1111 Duff Ave, Ames, IA 50010-5745 | 2017-11-28 |
| 1720509342 | Shannon Kathleen Lindley | Psychiatry & Neurology | 1111 Duff Ave, Ames, IA 50010-5745 | 2017-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851853063 | Eric Martin Mills | Social Worker | 320 South 17th Street, Ames, IA 50010 | 2019-04-05 |
| 1487147963 | Mcfarland Clinic, PC | Eyewear Supplier (Equipment, not the service) | 3500 University Blvd., Suite 1001, Ames, IA 50010 | 2018-06-11 |
| 1346733763 | Katelyn Elaine Holbrook | Occupational Therapist | 1915 Philadelphia Street, Ames, IA 50010 | 2018-06-11 |
| 1174030571 | Joshua B Hubbell | Peer Specialist | 527 E Lincoln Way #216, Ames, IA 50010 | 2018-01-08 |
| 1528426996 | Brandy Suzanne Walker | Occupational Therapist | 28201 550th Ave, Ames, IA 50010 | 2016-02-01 |
| 1386086338 | Adrienne Rae Shrader | Counselor | 600 5th Street, Suite 200, Ames, IA 50010 | 2013-07-18 |
| 1164708509 | North Central Iowa Mental Health Center Inc | Clinic/Center | 1801 20th St, Ames, IA 50010 | 2011-10-31 |
| 1669752226 | Ashley Rae Loeffelholz | Pharmacist | Nucara Pharmacy #28, 3600 University Blvd Suite 103, Ames, IA 50010 | 2011-08-26 |
| 1245544436 | Crawford Endodontics, Pllc | Dentist | 515 Grand Ave., Suite 102, Ames, IA 50010 | 2010-07-30 |
| 1023256708 | Donald Warren Powers | Family Medicine | 2538 Eisenhower, Ames, IA 50010 | 2009-02-03 |
| Find all providers in zip 50010 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871789982 | Ranae M Roberts | Nurse Practitioner | 2647 Union Drive, Ames, IA 50011 | 2007-09-21 |
| 1053935890 | Nick Stull | Nurse Practitioner | 223 S Walnut Ave, Ames, IA 50010-6974 | 2020-06-07 |
| 1790234326 | Rachel Boatman | Nurse Practitioner | 2647 Union Dr, Ames, IA 50011-2029 | 2016-09-23 |
| 1275834012 | Jody L Kapustka | Nurse Practitioner | 2521 University Blvd Ste 121, Ames, IA 50010-8629 | 2010-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463292 | Sarah Evie Schuller | Nurse Practitioner | 215 Nw 18th St Ste 102, Ankeny, IA 50023-4282 | 2020-09-26 |
| 1174139950 | Heartland Healthcare Psychiatry, LLC | Nurse Practitioner | 455 N Orthmckenzie Lane, North Liberty, IA 52317-8901 | 2020-09-17 |
| 1356956916 | Jennifer Cherop Cheruiyot | Nurse Practitioner | 215 Nw 18th St, Ankeny Ia 50023, Ankeny, IA 50023 | 2020-09-10 |
| 1083224844 | Amy Leclere | Nurse Practitioner | 404 Stonehaven Ln Ne, Cedar Rapids, IA 52402-1451 | 2020-08-06 |
| 1154940971 | Raven N Niles | Nurse Practitioner | 732 13th Ave, Coralville, IA 52241-1737 | 2020-04-12 |
| 1104459254 | Jered Flinkman | Nurse Practitioner | 420 Mill St Sw, Mitchellville, IA 50169-7702 | 2020-02-18 |
| 1508401571 | Someplace Psychiatric Services, Plc | Nurse Practitioner | 3909 Briarwood Dr, Cedar Falls, IA 50613-7508 | 2019-11-13 |
| 1053963900 | Nicole Dora Mcclavy | Nurse Practitioner | 610 10th St, Perry, Ia 50220, Perry, IA 50220 | 2019-07-11 |
| 1740841188 | Evizzit of Iowa Psychiatry PC | Nurse Practitioner | 1501 42nd St Ste 120, West Des Moines, IA 50266-1005 | 2019-06-26 |
| 1548736085 | Ncc Psychiatric Services Pllc | Nurse Practitioner | 50 Central Ave Se Ste 102, Le Mars, IA 51031-3562 | 2018-10-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.