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MRS. ATHENA C FERTIG APRNPMHNP-BCNP-C NPI 1093028805


NPI Information

NPI: 1093028805
Provider Name: MRS. ATHENA C FERTIG, APRN,PMHNP-BC,NP-C
Classification: Nurse Practitioner - 363L00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
300 W BROADWAY STE 240
COUNCIL BLUFFS, IA
ZIP 51503
Phone: (712) 266-3577
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MRS. Athena C Fertig, APRN,PMHNP-BC,NP-C is a nurse practitioner in Council Bluffs, IA with 14 years of experience. The provider is (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. MRS. Athena C Fertig, APRN,PMHNP-BC,NP-C NPI is 1093028805. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2010

The provider's business location address is:

300 W BROADWAY STE 240
COUNCIL BLUFFS, IA
ZIP 51503-028
Phone: (712) 266-3577
Fax: (712) 336-8541

The NPI 1093028805 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/21/2010 and was last updated on 9/19/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse Practitioner111149NEBRASKANo
2363LF0000XNurse PractitionerFamilyA149479IOWANo
3363LF0000XNurse PractitionerFamily111149NEBRASKANo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthG171495IOWANo
5363LP2300XNurse PractitionerPrimary Care111149NEBRASKANo
6363L00000XNurse PractitionerA149479IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
148515OTHERNEBRASKABCBS NE (PLH)
247279OTHERNEBRASKABCBS NE
310025024400MEDICAIDNEBRASKA
410025024300MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.