DEBRA OLDAKER-TEDROW FAMILY NURSE PRACTIT
NPI 1033597844
Nurse Practitioner - Family in Dubuque, IA

Q: What is Debra Oldaker-tedrow's NPI number?

The NPI number for Debra Oldaker-tedrow is 1033597844. It was assigned to this individual provider in the NPPES registry on May 12, 2015.

Q: What is Debra Oldaker-tedrow's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since May 12, 2015PECOS EnrolledAccepts Medicare Assignment

2255 JOHN F KENNEDY RD, DUBUQUE, IA 52002(319) 384-8822 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Debra Oldaker-tedrow Family Nurse Practit NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEBRA OLDAKER-TEDROW FAMILY NURSE PRACTIT (NPI 1033597844) is an individual family provider in Dubuque, Iowa, licensed in Iowa (A098850) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Southwest Health Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1033597844

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDEBRA OLDAKER-TEDROWCredential: FAMILY NURSE PRACTIT

Location Address2255 JOHN F KENNEDY RDDubuque, IA 52002-2846

Mailing Address2255 John F Kennedy Rd, Suite 21Dubuque, IA 52002-2846

Phone(319) 384-8822

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMay 12, 2015

Last NPPES UpdateJune 19, 2023

NPPES CertifiedJune 19, 2023

✔ NPI 1033597844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in IA · A098850✔ Licensed in IL · 209012800✔ Licensed in WI · 13973-33

2255 JOHN F KENNEDY RD, Dubuque, IA 52002

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, Quartz.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Debra Oldaker-tedrow Family Nurse Practit is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951622059

PECOS Enrollment IDI20230830000937

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southwest Health Center

Critical Access Hospitals · Platteville, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521354

Location1400 East Side RdPlatteville, WI 53818 · Grant County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52002 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOAN MARIE KNOCKEL LCMT

Specialist

2255 JOHN F KENNEDY RD, ASBURY SQUARE
DUBUQUE, IA 52002

Dubuque County (563) 583-3629

MR. JONATHAN ADAM HART LMHCT

Counselor (Mental Health)