Individual provider Active NPI

Kelly J. Weiss-Kreps, DO

  • Psychiatry Physician
  • Johnston, IA
National Provider Identifier
1053504670
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DO-04178 Issued in IA
Practice address
5517 Foxboro Rd
Johnston, IA 50131-8806
Phone
(515) 321-6440
NPI assigned
Aug 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X DO-04178 IA Primary

Addresses

Primary practice location

5517 Foxboro Rd
Johnston, IA 50131-8806

Mailing address

5517 Foxboro Rd
Johnston, IA 50131-8806
Phone (515) 321-6440

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190830002646 IA Practitioner - Psychiatry 8820327737 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Regional Medical CenterGroup PAC ID 9234041013, 48 clinicians

Practice addresses (Care Compare)

1700 W Townline St
Creston, IA 50801-1054
Phone (641) 782-7091

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.61 of 100Reported as group
Quality
75.16
Promoting interoperability
100
Improvement activities
40
Cost
76.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Regional Medical Center CurrentSince Dec 3, 2024 Accepting new patients
Greater Regional Medical Center CurrentSince Dec 3, 2024 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Greater Regional Medical Center PastSince Jun 30, 2024 Accepting new patients

Locations

1700 W Townline St
Creston, IA 50801
Phone (641) 782-7091

1610 W Townline St
Creston, IA 50801
Phone (641) 782-2131

1610 W Townline St
Ste 200
Creston, IA 50801
Phone (515) 782-2131

Interoperability endpoints

  • Direct secure messaging: kweisskreps1153119@direct.unitypoint.org
  • Direct secure messaging: weisskreps.kelly@cynchealthdsm.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1053504670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5517 FOXBORO RD",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501318806",
            "telephone_number": "515-321-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5517 FOXBORO RD",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501318806",
            "telephone_number": "515-321-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS-KREPS",
        "first_name": "KELLY",
        "middle_name": "J.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "DO-04178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, IA

Sources for this page

Verify at the official NPI Registry.