Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beau E Waddell, MD

Individual provider Family Medicine Physician · NPI 1053713636

Beau E Waddell, MD is a Family Practice in Hawarden, Iowa. Qualified in 2012, 14 years ago. Practices with Mercy Health System Corporation, a 751-clinician group and accepts Medicare assignment. Licensed in Iowa and Wisconsin.

Years since qualifying
14
Licensed in
IA, WI
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1111 11th St
Hawarden, IA 51023-1903
Phone: (712) 551-3100
Fax: (712) 551-3177
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD-43267 (IA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 62893-20 (WI)

Record details

NPI number1053713636
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 25, 2014
Last updated in NPPESAugust 18, 2016
Mailing address1111 11th St, Hawarden, IA 51023-1903

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Mercy Health System Corporation — 751 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Hawarden