Karena Anne Sauser , ARNP
Nurse Practitioner • Dubuque, IA
1000 Langworthy St
Dubuque, IA 520017313
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on June 6, 2017; this date does not establish years in practice.
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Published CMS data list 6,637 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 93793 — Anticoagulant management of patient taking warfarin: 1,655 service units.
- 85610 — Blood test, clotting time: 1,333 service units.
- 99211 — outpatient office visit: 985 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 18 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 8,580 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Warfarin Sodium — 3,371 prescription fills, including refills.
- Furosemide — 999 prescription fills, including refills.
- Metoprolol Succinate — 594 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 43 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 90% of clinicians listed under Nurse Practitioner in Dubuque, IA (2024, 17 clinicians with data). Median for this group: 414. Middle half: 228 to 838.
More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Iowa (2024, 671 clinicians with data). Median for this group: 338. Middle half: 121 to 805.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 4,552 in 2020 to 6,637 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
1000 Langworthy St
Dubuque, IA 520017313
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Medical Associates Clinic P C. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2016
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
414 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $106,104 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $79,879 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
18,183 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$964,671 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $184.77 across 6 records.
By nature of payment
- Food and Beverage: $184.77 across 6 records.
Reporting-company totals (3 largest of 4)
- Amgen Inc.: $85.87 across 2 records.
- Philips North America LLC: $40.46 across 1 record.
- AstraZeneca Pharmaceuticals LP: $31.64 across 2 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
10 years (graduated 2016)
CMS Doctors and Clinicians data list 2016 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2017
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Karena Sauser has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Karena Sauser as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Dubuque and Iowa
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 90% of clinicians listed under Nurse Practitioner in Dubuque, IA (2024, 17 clinicians with data). Median for this group: 414. Middle half: 228 to 838.
More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Iowa (2024, 671 clinicians with data). Median for this group: 338. Middle half: 121 to 805.
Medicare-allowed amount
A higher Medicare-allowed amount than 90% of clinicians listed under Nurse Practitioner in Dubuque, IA (2024, 17 clinicians with data). Median for this group: $27,329. Middle half: $13,362 to $35,836.
A higher Medicare-allowed amount than 90% of clinicians listed under Nurse Practitioner in Iowa (2024, 671 clinicians with data). Median for this group: $22,618. Middle half: $9,190 to $48,097.
Paid by Medicare
A higher Medicare payment amount than 90% of clinicians listed under Nurse Practitioner in Dubuque, IA (2024, 17 clinicians with data). Median for this group: $21,307. Middle half: $10,035 to $25,269.
A higher Medicare payment amount than 90% of clinicians listed under Nurse Practitioner in Iowa (2024, 671 clinicians with data). Median for this group: $16,808. Middle half: $6,606 to $35,763.
Medicare Part D prescriptions
More Part D prescriptions than 95% of clinicians listed under Nurse Practitioner in Dubuque, IA (2024, 19 clinicians with data). Median for this group: 526. Middle half: 184 to 2,353.
More Part D prescriptions than 95% of clinicians listed under Nurse Practitioner in Iowa (2024, 756 clinicians with data). Median for this group: 483. Middle half: 123 to 1,956.
Part D drug cost
A higher Part D drug cost than 95% of clinicians listed under Nurse Practitioner in Dubuque, IA (2024, 19 clinicians with data). Median for this group: $39,418. Middle half: $2,630 to $292,681.
A higher Part D drug cost than 90% of clinicians listed under Nurse Practitioner in Iowa (2024, 756 clinicians with data). Median for this group: $24,605. Middle half: $1,324 to $225,033.
34 active clinicians are listed under Nurse Practitioner with a practice address in Dubuque, IA (1,294 in Iowa).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Dubuque
2.9% of these 34 clinicians have the CMS telehealth indicator.
58.8% of these 34 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 46% from 4,552 in 2020 to 6,637 in 2024.
- 2020: 4,552
- 2021: 5,038
- 2022: 5,042
- 2023: 5,779
- 2024: 6,637
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Medicare-allowed amount
Medicare-allowed amount increased 60% from $66,211 in 2020 to $106,104 in 2024.
- 2020: $66,211
- 2021: $81,852
- 2022: $84,388
- 2023: $91,033
- 2024: $106,104
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Paid by Medicare
Paid by Medicare increased 59% from $50,266 in 2020 to $79,879 in 2024.
- 2020: $50,266
- 2021: $62,714
- 2022: $64,035
- 2023: $70,223
- 2024: $79,879
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 33% from 6,451 in 2020 to 8,580 in 2024.
- 2020: 6,451
- 2021: 6,382
- 2022: 6,556
- 2023: 7,118
- 2024: 8,580
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30-day fills
30-day fills increased 28% from 14,231 in 2020 to 18,183 in 2024.
- 2020: 14,231
- 2021: 14,675
- 2022: 15,444
- 2023: 16,336
- 2024: 18,183
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Part D drug cost
Part D drug cost increased 280% from $253,896 in 2020 to $964,671 in 2024.
- 2020: $253,896
- 2021: $307,569
- 2022: $468,524
- 2023: $707,564
- 2024: $964,671
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $338.71 in 2021 to $184.77 in 2025.
- 2021: $338.71
- 2022: $651.14
- 2023: $319.67
- 2024: $526.95
- 2025: $184.77
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $184.77.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Amgen Inc. |
Food and Beverage
In-kind items and services
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REPATHA | General | $72.27 |
| Philips North America LLC |
Food and Beverage
Cash or cash equivalent
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Ambulatory Monitoring & Diagnostics Undivided | General | $40.46 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
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LEQVIO | General | $26.80 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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WAINUA | General | $17.50 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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FARXIGA | General | $14.14 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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REPATHA | General | $13.60 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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93793
Anticoagulant management of patient taking warfarin
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1,655 | 114 | $23.92 | $8.94 |
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85610
Blood test, clotting time
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1,333 | 113 | $11.00 | $4.20 |
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99211
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
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985 | 89 | $43.00 | $18.09 |
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36415
Insertion of needle into vein for collection of blood sample
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490 | 164 | $11.00 | $8.63 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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464 | 254 | $232.00 | $99.97 |
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82565
Blood creatinine level
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301 | 123 | $15.00 | $5.00 |
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G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
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296 | 154 | $29.00 | $12.95 |
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84520
Urea nitrogen level to assess kidney function, quantitative
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294 | 121 | $12.00 | $3.86 |
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84132
Blood potassium level
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293 | 121 | $14.00 | $4.65 |
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84295
Blood sodium level
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293 | 121 | $14.00 | $4.70 |
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93005
Routine electrocardiogram (ecg) using at least 12 leads with tracing
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76 | 53 | $32.00 | $5.51 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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27 | 26 | $320.00 | $141.08 |
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84443
Blood test, thyroid stimulating hormone (tsh)
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26 | 23 | $26.00 | $16.46 |
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84450
Liver enzyme (sgot), level
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24 | 19 | $8.00 | $5.08 |
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84075
Phosphatase (enzyme) level, alkaline
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22 | 17 | $15.00 | $5.08 |
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85014
Red blood cell concentration measurement
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22 | 21 | $7.00 | $2.32 |
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85018
Blood count, hemoglobin
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22 | 21 | $7.00 | $2.32 |
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99496
Transitional care management services for problem of high complexity
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14 | 13 | $460.00 | $219.40 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Warfarin Sodium | Warfarin Sodium | 3,371 | 197,079 | $27,156.82 | 646 |
| Furosemide | Furosemide | 999 | 59,158 | $5,709.91 | 288 |
| Metoprolol Succinate | Metoprolol Succinate | 594 | 42,439 | $9,914.61 | 173 |
| Spironolactone | Spironolactone | 468 | 28,787 | $2,824.79 | 113 |
| Potassium Chloride | Potassium Chloride | 333 | 21,169 | $9,651.32 | 105 |
| Metoprolol Tartrate | Metoprolol Tartrate | 291 | 20,358 | $1,223.08 | 96 |
| Eliquis | Apixaban | 274 | 15,570 | $294,007.50 | 72 |
| Entresto | Sacubitril/Valsartan | 231 | 11,753 | $191,029.09 | 55 |
| Amiodarone Hcl | Amiodarone Hcl | 211 | 13,283 | $2,372.21 | 62 |
| Flecainide Acetate | Flecainide Acetate | 140 | 8,534 | $4,751.87 | 37 |
| Farxiga | Dapagliflozin Propanediol | 127 | 6,741 | $118,625.87 | 31 |
| Jardiance | Empagliflozin | 121 | 5,711 | $108,861.63 | 27 |
| Lisinopril | Lisinopril | 115 | 9,330 | $517.02 | 39 |
| Amlodipine Besylate | Amlodipine Besylate | 104 | 6,942 | $598.02 | 31 |
| Carvedilol | Carvedilol | 99 | 7,634 | $712.45 | 32 |
| Losartan Potassium | Losartan Potassium | 99 | 6,706 | $601.91 | 30 |
| Xarelto | Rivaroxaban | 96 | 7,237 | $126,838.02 | 30 |
| Atorvastatin Calcium | Atorvastatin Calcium | 86 | 6,590 | $440.50 | 36 |
| Clopidogrel | Clopidogrel Bisulfate | 78 | 5,696 | $364.89 | 29 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 72 | 5,740 | $1,197.95 | 26 |
| Isosorbide Dinitrate | Isosorbide Dinitrate | 63 | 4,046 | $4,871.36 | 17 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 59 | 3,520 | $597.26 | 17 |
| Metolazone | Metolazone | 56 | 1,957 | $623.28 | 21 |
| Nitroglycerin | Nitroglycerin | 53 | 792 | $379.53 | 40 |
| Atenolol | Atenolol | 50 | 4,488 | $362.77 | 17 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363L00000X
(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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20171219003170
WI
2466721469
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Medical Associates Clinic P C
1240 Big Jack Rd, Platteville, WI 538188902
Phone: 6083486266
Medical Associates Clinic P C
1000 Langworthy St, Dubuque, IA 520017313
Phone: 5635844100
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant (Certified)
Nurse Practitioner
Advanced Registered Nurse Practitioner
Internal Medicine - Cardiovascular Disease
Doctor of Medicine (M.D.)
Internal Medicine - Cardiovascular Disease
Doctor of Medicine (M.D.)
Internal Medicine - Cardiovascular Disease
Doctor of Osteopathic Medicine (D.O.)
Nurse Practitioner - Family
Advanced Registered Nurse Practitioner
Career & Practice History
NPI enumerated June 06, 2017.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from June 2017 to August 2026.
NPI Administrative Meta
Other Nurse Practitioners in Dubuque
- Kari Pfab, ARNP
- Naomi Von Hollen, ARNP
- Lisa Tyler, ARNP
- Connor Rucks, ARNP
- Dr. Jennifer Sullivan, DNP, FNP-BC
- Dawn Weets, NP
Mailing Address
1500 Associates Dr
Dubuque, IA 520022201
Phone: 5635844100