Individual provider Active NPI

Jamie Lee Hyde, ARNP

  • Family Nurse Practitioner
  • Ottumwa, IA
National Provider Identifier
1073038220
Registry record updated Aug 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A106056 Issued in IA
Practice address
1001 Pennsylvania Ave
Ottumwa, IA 52501-6427
Phone
(641) 682-7511
Fax
(641) 684-2324
NPI assigned
Aug 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2017

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 A106056 IA Primary

Addresses

Primary practice location

1001 Pennsylvania Ave
Ottumwa, IA 52501-6427

Mailing address

616 Benton Ave E
Albia, IA 52531-2118
Phone (641) 216-3836

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
I20170816000801 IA Practitioner - Nurse Practitioner 7113299868 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Medical Center-CentervilleGroup PAC ID 9739077652, 37 clinicians

Practice addresses (Care Compare)

19942 Saint Joseph Dr
Centerville, IA 52544-8849
Phone (641) 856-8684

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ottumwa Health Group LLC CurrentSince Aug 9, 2017 Accepting new patients
Mercy Medical Center-Centerville CurrentSince Sep 1, 2018 Accepting new patients
Mercy Medical Center-Centerville CurrentSince Sep 1, 2018 Accepting new patients
Mercy Medical Center-Centerville Current Accepting new patients
Ottumwa Health Group LLC CurrentSince Aug 9, 2017 Accepting new patients

Locations

19942 Saint Joseph Dr
Centerville, IA 52544
Phone (641) 856-8684

1 Saint Joseph Dr
Centerville, IA 52544
Phone (641) 437-3482

1255 Theatre Dr
Ottumwa, IA 52501
Phone (641) 684-2551

1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111

Interoperability endpoints

  • Direct secure messaging: jhyde3947793@direct.trinity-health.org
  • Direct secure messaging: jamiehyde@cneb.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502236800000",
    "number": "1073038220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 BENTON AVE E",
            "city": "ALBIA",
            "state": "IA",
            "postal_code": "525312118",
            "telephone_number": "641-216-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PENNSYLVANIA AVE",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525016427",
            "telephone_number": "641-682-7511",
            "fax_number": "641-684-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDE",
        "first_name": "JAMIE",
        "middle_name": "LEE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2017-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A106056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottumwa, IA

Sources for this page

Verify at the official NPI Registry.