Individual provider Active NPI

Jennifer Stromgren, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Ottumwa, IA
National Provider Identifier
1013525054
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G161858 Issued in IA
Practice address
1527 Albia Rd
Ottumwa, IA 52501-3907
Phone
(641) 682-8772
NPI assigned
Jul 15, 2020
Last updated
May 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G161858 IA Primary

Addresses

Primary practice location

1527 Albia Rd
Ottumwa, IA 52501-3907

Mailing address

1527 Albia Rd
Ottumwa, IA 52501-4246
Phone (641) 682-8772

Other practice location 1

2246 82nd Ave
Ottumwa, IA 52501-9180
Phone (727) 463-0828

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jstromgren@simhcottumwa.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210126002660 IA Practitioner - Nurse Practitioner 0941614358 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uhs Midwest Behavioral Health LLCGroup PAC ID 4385054964, 6 clinicians
Balance TMS, Esketamine, and Psychiatry PLLCGroup PAC ID 2062878218, 2 clinicians

Practice addresses (Care Compare)

1450 NW 114TH St
Clive, IA 50325-7039
Phone (844) 680-0504

1517 N Ankeny Blvd
Suite E
Ankeny, IA 50023-4120
Phone (814) 720-5669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Iowa Mental Health Center CurrentSince Jan 25, 2021 Accepting new patients
Balance TMS, Esketamine, and Psychiatry PLLC CurrentSince Sep 17, 2024 Accepting new patients
Southern Iowa Mental Health Center CurrentSince Jan 25, 2021 Accepting new patients
Uhs Midwest Behavioral Health LLC CurrentSince Oct 31, 2022 Accepting new patients
Clive Behavioral Health LLC Past Accepting new patients

Locations

1517 N Ankeny Blvd
Ste E
Ankeny, IA 50023
Phone (413) 341-2401

1450 NW 114th St
Clive, IA 50325
Phone (515) 553-6200

1229 C Ave E
Ste 400
Oskaloosa, IA 52577
Phone (641) 672-3159

1527 Albia Rd
Ottumwa, IA 52501
Phone (641) 682-8772

Interoperability endpoints

  • Direct secure messaging: jstromgren@simhcottumwa.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1013525054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 ALBIA RD",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525014246",
            "telephone_number": "641-682-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 ALBIA RD",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525013907",
            "telephone_number": "641-682-8772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2246 82nd Ave",
            "address_purpose": "LOCATION",
            "city": "Ottumwa",
            "state": "IA",
            "postal_code": "525019180",
            "country_code": "US",
            "telephone_number": "727-463-0828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STROMGREN",
        "first_name": "JENNIFER",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G161858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jstromgren@simhcottumwa.org",
            "affiliation": "N",
            "address_1": "1229 C Ave E Ste 400",
            "city": "Oskaloosa",
            "state": "IA",
            "country_code": "US",
            "postal_code": "525774246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ottumwa, IA

Sources for this page

Verify at the official NPI Registry.