Organization Active NPI

Eastern Iowa Psychiatric Services PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cedar Rapids, IA
National Provider Identifier
1073264248
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
EASTERN IOWA PSYCHIATRIC SERVICES PC
Practice address
1519 Center Point Rd NE
Cedar Rapids, IA 52402-6507
Phone
(319) 365-9939
Fax
(319) 289-7022
NPI assigned
Jan 10, 2022
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jill ScottNPI 1124428222
Title
Arnp
Phone
(319) 365-9939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20050106000370 IA Part B Supplier - Clinic/Group Practice 2062460058 Receives reassigned benefits from 1 practitioner
Practice locations: Cedar Rapids, IA

National Provider Directory

National Provider Directory

Locations

1519 Center Point Rd NE
Cedar Rapids, IA 52402
Phone (319) 241-1678

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

NPPES NPI Registry

Primary practice location

1519 Center Point Rd NE
Cedar Rapids, IA 52402-6507

Mailing address

1519 Center Point Rd NE
Cedar Rapids, IA 52402-6507
Phone (319) 365-9939

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 18, 2024.

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1073264248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 CENTER POINT RD NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524026507",
            "telephone_number": "319-365-9939",
            "fax_number": "319-289-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 CENTER POINT RD NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524026507",
            "telephone_number": "319-365-9939",
            "fax_number": "319-289-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN IOWA PSYCHIATRIC SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "ARNP",
        "authorized_official_telephone_number": "319-365-9939"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.