Individual provider Active NPI

Jennifer Lynn Archer, ARNP

  • Family Nurse Practitioner
  • Albia, IA
National Provider Identifier
1023034543
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A105742 Issued in IA
Practice address
6582 165TH St
Albia, IA 52531-8793
Phone
(641) 932-7172
Fax
(641) 932-7174
NPI assigned
Jul 15, 2006
Last updated
May 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 105742 IA
Family Nurse Practitioner 363LF0000X A105742 IA Primary

Addresses

Primary practice location

6582 165TH St
Albia, IA 52531-8793

Mailing address

6582 165TH St
Albia, IA 52531-8793
Phone (641) 932-7172

Other identifiers 6

IdentifierTypeStateIssuer
0728006MedicaidIA
27254OtherIAWELLMARK BCBS
27314OtherIAWELLMARK BCBS
27328OtherIAWELLMARK BCBS
27327OtherIAWELLMARK BCBS
27246OtherIAWELLMARK BCBS

Other names 1

  • Jennifer Lynn Hamm Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jenniferarcher@mchalbia.cernerdirect.com Direct

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
I20061011000113 IA Practitioner - Nurse Practitioner 9638175888 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monroe County HospitalGroup PAC ID 1759299217, shared by 4 NPIs, 26 clinicians

Practice addresses (Care Compare)

6580 165TH St
Albia, IA 52531-8793
Phone (641) 932-2134

6582 165TH St
Albia, IA 52531-8793

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
105742IAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe County Hospital CurrentSince Jul 1, 2006 Accepting new patients
Monroe County Hospital Current Accepting new patients
Monroe County Hospital CurrentSince Jul 1, 2006 Accepting new patients

Locations

6582 165th St
Albia, IA 52531
Phone (641) 932-7172

6580 165th St
Albia, IA 52531
Phone (641) 932-1756

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1023034543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6582 165TH ST",
            "city": "ALBIA",
            "state": "IA",
            "postal_code": "525318793",
            "telephone_number": "641-932-7172",
            "fax_number": "641-932-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6582 165TH ST",
            "city": "ALBIA",
            "state": "IA",
            "postal_code": "525318793",
            "telephone_number": "641-932-7172",
            "fax_number": "641-932-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "105742",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A105742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0728006",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "27254",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "27314",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "27328",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "27327",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "27246",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jenniferarcher@mchalbia.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Monroe County Hospital Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "6582 165th St",
            "city": "Albia",
            "state": "IA",
            "country_code": "US",
            "postal_code": "525318793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HAMM",
            "middle_name": "LYNN",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albia, IA

Sources for this page

Verify at the official NPI Registry.