Joellen Anderson, RN, ARNP
Nurse Practitioner, Gerontology in Decorah, IA. Individual provider (NPI-1).
NPI number1508060484
StatusActive
Last updated in NPPESMar 29, 2013
Details
- NPI
- 1508060484
- Entity type
- Individual (NPI-1)
- Name
- Joellen Anderson
- Credential
- RN, ARNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 13, 2007
- Last updated
- Mar 29, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | J071035 | IA | Yes |
| 163W00000X | Registered Nurse | 071035 | IA | |
| 363LA2100X | Nurse Practitioner, Acute Care | J-071035 | IA |
Practice location
700 College DrDecorah, IA 52101-1041
Phone 563-387-1045
Mailing address
2661 W Ridge RdWaukon, IA 52172-8501
Phone 563-568-4277
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