Individual provider Active NPI

Jena Weissenburger, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • West Des Moines, IA
National Provider Identifier
1063198760
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G174969 Issued in IA
Practice address
3737 Woodland Ave Ste 415
West Des Moines, IA 50266-1937
Phone
(515) 222-1999
NPI assigned
Jun 26, 2023
Last updated
Jun 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G174969 IA Primary

Addresses

Primary practice location

3737 Woodland Ave Ste 415
West Des Moines, IA 50266-1937

Mailing address

3737 Woodland Ave Ste 415
West Des Moines, IA 50266-1937
Phone (515) 222-1999

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
I20230814002308 IA Practitioner - Nurse Practitioner 2062874639 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G174969IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Psychiatry LLC Psychiatric/Mental Health CurrentSince Mar 30, 2025 Accepting new patients
Integrative Counseling Solutions Inc. PastSince Jul 2, 2023 Accepting new patients

Locations

12247 Stratford Dr
Clive, IA 50325
Phone (515) 212-2091

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.

NPI Registry JSON

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1063198760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 WOODLAND AVE STE 415",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661937",
            "telephone_number": "515-222-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 WOODLAND AVE STE 415",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661937",
            "telephone_number": "515-222-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISSENBURGER",
        "first_name": "JENA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G174969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.