Individual provider Active NPI

Kendra Kathleen Struck, ARNP

  • Family Nurse Practitioner
  • Coralville, IA
National Provider Identifier
1124364948
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A080122 Issued in IA
Practice address
105 E 9TH St
Coralville, IA 52241-2209
Phone
(319) 467-2000
Fax
(319) 467-2504
NPI assigned
Dec 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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 A080122 IA Primary

Addresses

Primary practice location

105 E 9TH St
Coralville, IA 52241-2209

Mailing address

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 467-2000

Other practice location 1

920 N Quincy Ave
Ottumwa, IA 52501-3866
Phone (641) 455-5200

Other practice location 2

612 Main St
Keokuk, IA 52632-5450
Phone (319) 524-3339

Other identifiers 2

IdentifierTypeStateIssuer
A080122OtherIAIOWA LICENSE
1124364948OtherIANPI

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
I20130221000356 IA Practitioner - Nurse Practitioner 0547415689 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians
QV Urgent Care Ia PLLCGroup PAC ID 1052722147, 37 clinicians

Practice addresses (Care Compare)

105 E 9TH St
University of Iowa Health Care Medical Cent
Coralville, IA 52241-2209
Phone (319) 467-2000

801 N Grand Ave
Mt Pleasant, IA 52641-3120
Phone (319) 984-4775

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
75.68
Promoting interoperability
78
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A080122IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State University of Iowa CurrentSince Aug 1, 2018 Accepting new patients
QV Urgent Care Ia PLLC CurrentSince Jun 1, 2023 Accepting new patients
QV Urgent Care Ia PLLC CurrentSince Jun 1, 2023 Accepting new patients

Locations

2510 Corridor Way
Ste 6A
Coralville, IA 52241
Phone (319) 334-8500

105 E 9th St
Iowa City, IA 52241
Phone (319) 467-2000

200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

801 N Grand Ave
Mt Pleasant, IA 52641
Phone (319) 984-4775

405 Monroe St
Pella, IA 50219
Phone (641) 621-2200

2489 Highway 92
Washington, IA 52353
Phone (319) 206-9383

1221 S Gear Ave
West Burlington, IA 52655
Phone (319) 768-3622

Interoperability endpoints

  • Direct secure messaging: kstruck16425@uihcdirect.org

Organizations & group practices 3

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 1

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": "1356480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1124364948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-467-2000",
            "fax_number": "319-467-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E 9TH ST",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412209",
            "telephone_number": "319-467-2000",
            "fax_number": "319-467-2504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 N Quincy Ave",
            "address_purpose": "LOCATION",
            "city": "Ottumwa",
            "state": "IA",
            "postal_code": "525013866",
            "country_code": "US",
            "telephone_number": "641-455-5200",
            "fax_number": "641-455-5150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "612 Main St",
            "address_purpose": "LOCATION",
            "city": "Keokuk",
            "state": "IA",
            "postal_code": "526325450",
            "country_code": "US",
            "telephone_number": "319-524-3339",
            "fax_number": "319-538-0104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRUCK",
        "first_name": "KENDRA",
        "middle_name": "KATHLEEN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-26",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A080122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA LICENSE",
            "identifier": "A080122",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1124364948",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

Verify at the official NPI Registry.