Individual provider Active NPI

Whitney Ann Jensen, OD

  • Optometrist
  • Grinnell, IA
National Provider Identifier
1053673822
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002545 Issued in IA
Practice address
935 Broad St
Grinnell, IA 50112-2047
Phone
(641) 236-7502
NPI assigned
Jun 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002545 IA Primary

Addresses

Primary practice location

935 Broad St
Grinnell, IA 50112-2047

Mailing address

935 Broad St
Grinnell, IA 50112-2047
Phone (641) 236-7502

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121022000744 IA Practitioner - Optometry 4587814850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jensen Optometrists PLLC 2 clinicians

Practice addresses (Care Compare)

935 Broad St
Grinnell, IA 50112-2047
Phone (641) 236-7502

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery32
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002545IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jensen Optometrists, P.L.L.C. Optometrist CurrentSince Feb 19, 2018 Accepting new patients
Wolfe Clinic Inc PastSince Feb 19, 2018 Accepting new patients

Locations

935 Broad St
Grinnell, IA 50112
Phone (515) 236-7502

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1053673822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 BROAD ST",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501122047",
            "telephone_number": "641-236-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 BROAD ST",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501122047",
            "telephone_number": "641-236-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "WHITNEY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grinnell, IA

Sources for this page

Verify at the official NPI Registry.