Jennifer Lee Wittman, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

G156884 Issued in IA

Practice address

1900 James St Ste 1
Coralville, IA 52241-1895

Phone

(319) 337-8329

Fax

(319) 379-6156

NPI assigned

Aug 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Corridor Ketamine LLCGroup PAC ID 2567857725, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.5 of 100Reported as group

Quality

68.67

Promoting interoperability

100

Improvement activities

40

Cost

76.34

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JIJCBD
• Direct secure messaging: goldenoakhealthllc.jenniferwittman@161932.advancedmd-direct.com

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

• Corridor Ketamine LLC

  • Certified Registered Nurse Anesthetist
  • Coralville, IA
  • NPI 1356099154

  Family

  Medicare reassignment Care Compare group NPD
• Physicians' Clinic of Iowa, PC

  • Surgery Physician
  • Cedar Rapids, IA
  • NPI 1821075599
  Medicare reassignment NPD
• Physicians Clinic of Iowa, PC

  • Specialty Pharmacy
  • Cedar Rapids, IA
  • NPI 1295064111
  NPD

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

{
    "created_epoch": "1566604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1013564996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 JAMES ST STE 1",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411895",
            "telephone_number": "319-936-4545",
            "fax_number": "319-379-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 JAMES ST STE 1",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411895",
            "telephone_number": "319-337-8329",
            "fax_number": "319-379-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTMAN",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-24",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A156218",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G156884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Grace Williams, OTD, OTR/L
• Doug Wilson, PHARM D
• Reid Wilson, DPT, PT
• Pamela F Wiltfang, PHARMD, MPH, BA
• Brittany Diane Winch, MS CCC-SLP
• WJC LTD
• Cassidy Lynn Wolfe, DPT
• Sarah Woodford
• Lisa Marie Woodroffe, M.D.
• Adam James Woods, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Coralville, IA
• Providers in Coralville, IA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.