Active NPI
Michaela Ann Jens
- Social Worker
- Des Moines, IA
National Provider Identifier
1083216063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 099610
- Practice address
- 4309 University Ave
Des Moines, IA 50311-3423 - Phone
- (515) 996-5935
- NPI assigned
- Nov 13, 2020
- Last updated
- Nov 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 099610 | IA | Primary |
Addresses
Primary practice location
4309 University Ave
Des Moines, IA 50311-3423
Mailing address
7051 Brookview Dr
Urbandale, IA 50322-8006
Phone (402) 650-6568
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Forward Consulting | Current | Accepting new patients | |
| Innershift LLC | Current | Accepting new patients |
Locations
4309 University Ave
Des Moines, IA 50311
Phone (515) 410-1716
Interoperability endpoints
- mjens1021838@direct.unitypoint.org
Organizations & group practices 4
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.
-
- Clinical Social Worker
- Johnston, IA
- NPI 1366317174
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Des Moines, IA
- NPI 1982657490
-
- Mental Health Counselor
- Des Moines, IA
- NPI 1154922557
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605830400000",
"number": "1083216063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7051 BROOKVIEW DR",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503228006",
"telephone_number": "402-650-6568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4309 UNIVERSITY AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503113423",
"telephone_number": "515-996-5935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENS",
"first_name": "MICHAELA",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-13",
"last_updated": "2020-11-20",
"certification_date": "2020-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "099610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.