ANDREA BERGDALE (NPI# 1912528902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912528902 |
| Entity Type | Individual |
| Full Name | ANDREA BERGDALE |
| Credential | ARNP |
| Practice Address |
3 S 4th Ave Marshalltown IA 50158-2924 |
| Practice Telephone | 6417545151 |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2020-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | A158257 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3 S 4TH AVE |
| City | MARSHALLTOWN |
| State | IA |
| Zip Code | 50158-2924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710980032 | Central Iowa Healthcare | General Acute Care Hospital | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2005-05-31 |
| 1992338222 | Marci Burns | Pharmacist | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2020-02-14 |
| 1164054680 | Maria Gunnes Sibbel | Pharmacist | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2020-02-12 |
| 1750930426 | Melissa Michelle Hadwiger | Nurse Practitioner | 3 S 4th Ave, Marshalltown, IA 50158 | 2019-09-05 |
| 1306406681 | Brandy M Reints | Nurse Practitioner | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2019-06-18 |
| 1821568858 | Leah M Haubrich | Nurse Practitioner | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2018-12-03 |
| 1073006698 | Callie M Williams | Nurse Practitioner | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2018-06-08 |
| 1487150991 | Mckenzie Mae Cooper | Physician Assistant | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2018-04-03 |
| 1851893135 | Ryan Matthew Foulkes | Nurse Practitioner | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2018-03-02 |
| 1336640366 | Mackenzie Jeanne Stueck | Physician Assistant | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2018-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386122455 | The Willows of Marshalltown LLC | Assisted Living Facility | 2315 Campbell Drive, Marshalltown, IA 50158 | 2018-08-01 |
| 1649654922 | Jennifer Marie Sitter | Physical Therapist | 55 Central Iowa Drive, Suite 70, Marshalltown, IA 50158 | 2015-07-16 |
| 1447685664 | Tara Lea Rathjen | Counselor | 2501 S Center Street, Suite M, Marshalltown, IA 50158 | 2013-09-06 |
| 1619232766 | Katie Elizabeth Mennenga | Hearing Instrument Specialist | 309 East Church Street, Marshalltown, IA 50158 | 2012-07-05 |
| 1043419070 | Iowa Veterans Home | Pharmacist | 1301 Summit Street, Marshalltown, IA 50158 | 2007-07-11 |
| 1710183637 | Leah A. Bethel | Emergency Medicine | 3 South 4th Ave, Mcfarland Clinic, PC, Marshalltown, IA 50158 | 2007-06-26 |
| 1902018179 | Daryl M. Lorell | Speech-Language Pathologist | 1902 South Center Street, Marshalltown, IA 50158 | 2007-05-03 |
| 1609934157 | Substance Abuse Treatment Unit of Central Iowa | Substance Abuse Rehabilitation Facility | 9 North 4th Avenue, Marshalltown, IA 50158 | 2006-12-05 |
| 1245319540 | Clark and Associates, Inc. | Prosthetic/Orthotic Supplier | 3109 S Center St # 102, Marshalltown, IA 50158 | 2006-11-06 |
| 1679669832 | Erin Voyles Hatcher | Nurse Practitioner | 9 North 4th Ave, Marshalltown, IA 50158 | 2006-10-05 |
| Find all providers in zip 50158 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396279907 | Unitypoint Health - Marshalltown | Nurse Practitioner | 405 E Main St Fl 1, Marshalltown, IA 50158-1928 | 2017-04-20 |
| 1407477714 | Ann Marie Ersland | Nurse Practitioner | 502 Plaza Heights Rd, Marshalltown, IA 50158-4544 | 2020-04-28 |
| 1023657731 | Brooke Shivers | Nurse Practitioner | 412 E Church St, Marshalltown, IA 50158-2985 | 2019-12-27 |
| 1750930426 | Melissa Michelle Hadwiger | Nurse Practitioner | 3 S 4th Ave, Marshalltown, IA 50158 | 2019-09-05 |
| 1225592074 | Carol B Barlow | Nurse Practitioner | 312 E Main St, Marshalltown, IA 50158-1992 | 2019-01-25 |
| 1821568858 | Leah M Haubrich | Nurse Practitioner | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2018-12-03 |
| 1447737143 | Shannon A Appel | Nurse Practitioner | 312 E Main St Ste 1000, Marshalltown, IA 50158-1992 | 2018-07-25 |
| 1053802504 | Josephine Dore Budinger | Nurse Practitioner | 312 E Main St, Marshalltown, IA 50158-1888 | 2018-05-21 |
| 1851893135 | Ryan Matthew Foulkes | Nurse Practitioner | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2018-03-02 |
| 1154834638 | Christine M Schmitt | Nurse Practitioner | 55 Central Iowa Dr, Marshalltown, IA 50158-4705 | 2017-11-07 |
| Find all providers in MARSHALLTOWN | ||||
| City | MARSHALLTOWN |
| Zip Code | 50158 |
Please comment or provide details below to improve the information on ANDREA BERGDALE.
| 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.