Individual provider Active NPI

Jean L Westendorf, ARNP

  • Nurse Practitioner
  • Mason City, IA
National Provider Identifier
1083609929
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
039850 Issued in IA
Practice address
621 S Illinois Ave
Suite 100
Mason City, IA 50401
Phone
(641) 428-6900
Fax
(641) 428-6909
NPI assigned
Sep 16, 2005
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 039850 IA Primary
Nurse Practitioner 363L00000X C039850 IA

Addresses

Primary practice location

621 S Illinois Ave
Suite 100
Mason City, IA 50401

Mailing address

621 S Illinois Ave
Suite 103
Mason City, IA 50401
Phone (641) 428-6900

Other identifiers 2

IdentifierTypeStateIssuer
0425017MedicaidIA
55760OtherIAWELLMARK BCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jwestendorf3961377@direct.trinity-health.org Direct

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
I20110331000351 IA Practitioner - Nurse Practitioner 3375726193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Iowa Mercy ClinicsGroup PAC ID 7810809076, 304 clinicians

Practice addresses (Care Compare)

621 S Illinois Ave
100 Mercyone Regency Family Medicine
Mason City, IA 50401-5489
Phone (641) 428-6900

Merit-based Incentive Payment System (MIPS)

Final score
81.55 of 100Reported as group
Quality
73.89
Promoting interoperability
93
Improvement activities
40
Cost
70.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C039850IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Iowa Mercy Clinics Current Accepting new patients
North Iowa Mercy Clinics CurrentSince Feb 1, 2011 Accepting new patients
North Iowa Mercy Clinics CurrentSince Feb 1, 2011 Accepting new patients
North Iowa Mercy Clinics Past Accepting new patients

Locations

621 S Illinois Ave
Ste 1
Mason City, IA 50401
Phone (641) 428-6900

621 S Illinois Ave
Ste 100
Mason City, IA 50401
Phone (641) 428-6900

621 S Illinois Ave
Ste 103
Mason City, IA 50401

Interoperability endpoints

  • Direct secure messaging: jwestendorf3961377@direct.trinity-health.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.

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1083609929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S ILLINOIS AVE",
            "address_2": "SUITE 103",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "50401",
            "telephone_number": "641-428-6900",
            "fax_number": "641-428-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S ILLINOIS AVE",
            "address_2": "SUITE 100",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "50401",
            "telephone_number": "641-428-6900",
            "fax_number": "641-428-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTENDORF",
        "first_name": "JEAN",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "039850",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "C039850",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0425017",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "55760",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwestendorf3961377@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "MercyOne North Iowa Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "621 S Illinois Ave",
            "address_2": "Suite 100",
            "city": "Mason City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "50401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mason City, IA

Sources for this page

Verify at the official NPI Registry.