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Individual provider Active NPI

Jessica J Schaack, ARNP

  • Family Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1063567931
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
H-109116 Issued in IA
Practice address
1215 Pleasent Street
Suite 100
Des Moines, IA 50309-1409
Phone
(515) 241-5710
Fax
(515) 241-8004
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X H-109116 IA Primary

Addresses

Primary practice location

1215 Pleasent Street
Suite 100
Des Moines, IA 50309-1409

Mailing address

1215 Pleasent Street
Suite 100
Des Moines, IA 50309-1409
Phone (515) 241-5710

Other identifiers 1

IdentifierTypeStateIssuer
H-109116OtherIAADULT NURSE PRACTITIONER

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
I20070227000477 IA Practitioner - Nurse Practitioner 7214039916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Kidney Physicians, P.C.Group PAC ID 7012806409, 15 clinicians

Practice addresses (Care Compare)

1215 Pleasant St
Des Moines, IA 50309-1409

1700 W Townline St
Creston, IA 50801-1054
Phone (641) 782-5202

5500 Westown Pkwy
West Des Moines, IA 50266-8202
Phone (515) 336-6557

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H-109116IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Kidney Physicians, PC CurrentSince Jun 21, 2010 Accepting new patients
Community Care Health Network LLC CurrentSince Sep 1, 2022 Accepting new patients
Diagnostic & Critical Care Medicine Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

4620 E 53rd St
Ste 200
Davenport, IA 52807
Phone (563) 213-5100

1215 Pleasant St
Ste 100
Des Moines, IA 50309
Phone (515) 241-5710

1215 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5715

211 Shellway Dr
Mount Ayr, IA 50854
Phone (641) 464-3226

5500 Westown Pkwy
Ste 180
West Des Moines, IA 50266
Phone (515) 336-6557

Interoperability endpoints

  • Direct secure messaging: jessicaschaack@ikppc.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1063567931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 PLEASENT STREET",
            "address_2": "SUITE 100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091409",
            "telephone_number": "515-241-5710",
            "fax_number": "515-241-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 PLEASENT STREET",
            "address_2": "SUITE 100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091409",
            "telephone_number": "515-241-5710",
            "fax_number": "515-241-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAACK",
        "first_name": "JESSICA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "H-109116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADULT NURSE PRACTITIONER",
            "identifier": "H-109116",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.