NPIMap

Individual provider Active NPI

Jodi Bangasser, ARNP

  • Primary Care Nurse Practitioner
  • Charles City, IA
National Provider Identifier
1023465267
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
H095679 Issued in IA
Practice address
800 11TH St
Charles City, IA 50616-3468
Phone
(641) 228-6830
NPI assigned
May 18, 2016
Last updated
Jun 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X H095679 IA Primary

Addresses

Primary practice location

800 11TH St
Charles City, IA 50616-3468

Mailing address

338 Hickory St
Allison, IA 50602-7801
Phone (641) 425-4346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160726000049 IA Practitioner - Nurse Practitioner 2567755705 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

800 11TH St
Charles City, IA 50616-3468
Phone (641) 257-1184

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H095679IAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Waverly Health Center CurrentSince Jun 18, 2016 Accepting new patients
Floyd County Memorial Hospital Commission Current Accepting new patients
Waverly Health Center CurrentSince Jun 18, 2016 Accepting new patients
Floyd County Memorial Hospital Commission CurrentSince Aug 1, 2024 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

1501 S Main St
Ste 6
Charles City, IA 50616
Phone (641) 228-5151

800 11th St
Charles City, IA 50616
Phone (641) 228-6830

312 9th St SW
Waverly, IA 50677
Phone (319) 352-4120

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.

Hospital & facility affiliations 7

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": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1023465267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 HICKORY ST",
            "city": "ALLISON",
            "state": "IA",
            "postal_code": "506027801",
            "telephone_number": "641-425-4346",
            "fax_number": "319-267-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 11TH ST",
            "city": "CHARLES CITY",
            "state": "IA",
            "postal_code": "506163468",
            "telephone_number": "641-228-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGASSER",
        "first_name": "JODI",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IA",
            "license": "H095679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charles City, IA

Sources for this page

Verify at the official NPI Registry.