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

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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?”

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Compared with the same specialty in Waterloo and Iowa

115 active clinicians are listed under Pharmacist with a practice address in Waterloo, IA (3,181 in Iowa).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Waterloo

0% of these 115 clinicians have the CMS telehealth indicator.

0% of these 115 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-08-05

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES IA 23617

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Iowa State Medical Licensing Board.

Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

20 listed

Dr. Melissa Andrews , MD

Family Medicine

NPI 1336833540

Doctor of Medicine (M.D.)

Dr. Mirela Bacevac , MD

Hospitalist

NPI 1891217105

Doctor of Medicine (M.D.)

Dr. Ryan Bauermeister , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1992480164

Doctor of Podiatric Medicine

Dr. Asar Das , MD

Family Medicine

NPI 1689243693

Doctor of Medicine (M.D.)

Dr. Aralis Fuentes Martinez , MD

Family Medicine

NPI 1932843851

Doctor of Medicine (M.D.)

Dr. Mohammed Ghanim , MD

Family Medicine

NPI 1174368229

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events

👤

Provider Name / Credentials Updated August 05, 2020

Recorded as JACQUELINE WILLMS, PHARM.D.

✅

NPI Profile Active October 10, 2019

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) October 10, 2019

Registered at 2055 KIMBALL AVE STE 101, WATERLOO, IA 507025047 (Tel: 6412290146)

📍

Business Mailing Address (Initial Record) October 10, 2019

Registered at 2055 KIMBALL AVE STE 101, WATERLOO, IA 507025047 (Tel: 6412290146)

👤

Provider Name / Credentials (Initial Record) October 10, 2019

Recorded as JACQUELINE WHITMAN, PHARM.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2019

Pharmacist (license number reported to NPPES: IA 23617)

🟢

Initial NPI Registration & Enumeration October 10, 2019

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1417599549

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 10, 2019

Last Update: August 05, 2020

Sole Proprietor: No

Update or Correct Profile

Other Pharmacists in Waterloo

All Pharmacists in Waterloo

Mailing Address

2055 Kimball Ave Ste 101

Waterloo, IA 507025047

Phone: 6412290146

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.