Individual provider Active NPI

Kelly Jesica Pearson, ARNP

  • Family Nurse Practitioner
  • Windsor Heights, IA
National Provider Identifier
1124216882
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A108523 Issued in IA
Practice address
974 73Rd St
Windsor Heights, IA 50312-1024
Phone
(515) 223-4146
Fax
(515) 223-1172
NPI assigned
Oct 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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 A108523 IA
Family Nurse Practitioner 363LF0000X A108523 IA Primary

Addresses

Primary practice location

974 73Rd St
Windsor Heights, IA 50312-1024

Mailing address

974 73Rd St
Windsor Heights, IA 50312-1024
Phone (515) 223-4146

Other practice location 1

640 Lincoln Way
Ames, IA 50010-6911
Phone (515) 956-4051

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kpearson116191@directmcfarlandclinic.com Health Information Exchange (HIE)

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
I20170119002214 IA Practitioner - Nurse Practitioner 6002198413 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Creighton University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pediatric and Adult Allergy PCGroup PAC ID 5294814687, 4 clinicians
The Iowa Clinic PCGroup PAC ID 4082513742, 307 clinicians
McFarland Clinic PCGroup PAC ID 1254244239, 353 clinicians

Practice addresses (Care Compare)

1212 Pleasant St
Suite 110
Des Moines, IA 50309-1410
Phone (515) 244-7229

5950 University Ave
Suite 105
West Des Moines, IA 50266-7756
Phone (515) 875-9100

640 Lincoln Way
Ames, IA 50010-6911
Phone (515) 956-4051

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McFarland Clinic PC CurrentSince May 1, 2024 Accepting new patients
The Iowa Clinic, PC CurrentSince Sep 23, 2024 Accepting new patients
The Iowa Clinic PC CurrentSince Sep 23, 2024 Accepting new patients
McFarland Clinic, PC Past Accepting new patients

Locations

640 Lincoln Way
Ames, IA 50010
Phone (515) 232-1961

1215 Duff Ave
Ames, IA 50010
Phone (515) 239-4400

1212 Pleasant St
Ste 110
Des Moines, IA 50309
Phone (515) 244-7229

1005 Pennsylvania Ave
Ste 102A
Ottumwa, IA 52501
Phone (641) 684-2589

5950 University Ave
Ste 105
West Des Moines, IA 50266
Phone (515) 875-9070

Interoperability endpoints

  • Direct secure messaging: kpearson116191@directmcfarlandclinic.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1124216882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 73RD ST",
            "city": "WINDSOR HEIGHTS",
            "state": "IA",
            "postal_code": "503121024",
            "telephone_number": "515-223-4146",
            "fax_number": "515-223-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 73RD ST",
            "city": "WINDSOR HEIGHTS",
            "state": "IA",
            "postal_code": "503121024",
            "telephone_number": "515-223-4146",
            "fax_number": "515-223-1172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 Lincoln Way",
            "address_purpose": "LOCATION",
            "city": "Ames",
            "state": "IA",
            "postal_code": "500106911",
            "country_code": "US",
            "telephone_number": "515-956-4051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "KELLY",
        "middle_name": "JESICA",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A108523",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A108523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpearson116191@directmcfarlandclinic.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "640 Lincoln Way",
            "city": "Ames",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500106911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Windsor Heights, IA

Sources for this page

Verify at the official NPI Registry.