ALLEN MEMORIAL HOSPITAL CORPORATION — NPI 1891772927 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Women’s Health in WATERLOO, IA)

CMS-1500 Box 24J / 33a • NPI

1891772927

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

363LW0102X (CMS 50)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Women’s Health

Box 32 Service Location & ZIP+4

233 VOLD DR, WATERLOO, IA, 50703-1256

✓ 9-Digit EDI 837 ZIP+4 (50703-1256)

Practice Phone & Referral Fax

(319) 235-5090

Fax: (319) 226-2110

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1891772927 (ALLEN MEMORIAL HOSPITAL CORPORATION) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1891772927` (NPI-2 Organization / Facility)
Provider / Legal Name	ALLEN MEMORIAL HOSPITAL CORPORATION
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Women’s Health NUCC Code: `363LW0102X` (Nurse Practitioner, Women's Health)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	233 VOLD DR, WATERLOO, IA, 50703-1256
Practice Telephone / Fax	Tel: (319) 235-5090 \| Fax: (319) 226-2110
Administrative Mailing Address	1825 LOGAN AVE, WATERLOO, IA, 50703-1916
Enumeration & Last Sync	Enumerated: 2005-12-29 \| CMS Record Updated: 2016-11-07
Authorized Official	PAMELA DELAGARDELLE (President/CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

233 VOLD DR, WATERLOO, IA, 50703-1256

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Plain-English Taxonomy & CMS Crosswalk (363LW0102X)

What Does Taxonomy Code 363LW0102X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LW0102X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Women’s Health"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 50 (Nurse Practitioner)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nurse Practitioner, Women's Health for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ALLEN MEMORIAL HOSPITAL CORPORATION)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`363LX0001X` — Nurse Practitioner, Obstetrics & Gynecology Plain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)	State: N/A \| License: `Verified` \| Primary: Secondary
`176B00000X` — Midwife Plain English: Licensed & Credentialed Midwife	State: N/A \| License: `Verified` \| Primary: Secondary
`207V00000X` — Obstetrics & Gynecology Plain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)	State: N/A \| License: `Verified` \| Primary: Secondary
`208800000X` — Urology Plain English: Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon)	State: N/A \| License: `Verified` \| Primary: Secondary
`2084P0800X` — Psychiatry & Neurology, Psychiatry Plain English: Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician)	State: N/A \| License: `Verified` \| Primary: Secondary
`207RH0003X` — Internal Medicine, Hematology & Oncology Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: N/A \| License: `Verified` \| Primary: Secondary
`207RP1001X` — Internal Medicine, Pulmonary Disease Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: N/A \| License: `Verified` \| Primary: Secondary
`261QF0050X` — Clinic/Center, Family Planning, Non-Surgical Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`363LW0102X` — Nurse Practitioner, Women's Health Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Women’s Health	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

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ALLEN MEMORIAL HOSPITAL CORPORATION (NPI #1891772927)