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

Bethany Stafford

Individual provider Nurse Practitioner · NPI 1750837969

Bethany Stafford is a Nurse Practitioner in Waterloo, Iowa. Qualified in 2015, 11 years ago. Practices with Iowa Physicians Clinic Medical Foundation, a 1,242-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
11
Licensed in
IA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

1825 Logan Ave Ste 201
Waterloo, IA 50703-1916
Phone: (319) 235-3838
Fax: (319) 235-5272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence H-121407 (IA)
Nurse Practitioner Taxonomy 363L00000X · Licence H-121407 (IA)

Record details

NPI number1750837969
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 28, 2016
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025
Mailing address1825 Logan Ave, Suite 201, Waterloo, IA 50703-1916

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Iowa Physicians Clinic Medical Foundation — 1242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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