Individual provider Active NPI

Jeanna N Panosh, APRN

  • Women's Health Nurse Practitioner
  • Ankeny, IA
National Provider Identifier
1134439870
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
F-112601 Issued in IA
Practice address
905 SW Oralabor Rd
Ankeny, IA 50023-7004
Phone
(515) 965-0300
NPI assigned
Oct 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X F112601 IA
Women's Health Nurse Practitioner 363LW0102X F-112601 IA Primary

Addresses

Primary practice location

905 SW Oralabor Rd
Ankeny, IA 50023-7004

Mailing address

905 SW Oralabor Rd
Ankeny, IA 50023-7004
Phone (515) 965-0300

Other practice location 1

2304 University Ave
Des Moines, IA 50311-4316
Phone (877) 811-7526

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
I20101208000967 IA Practitioner - Nurse Practitioner 2264629864 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

905 SW Oralabor Rd
OB GYN Ankeny
Ankeny, IA 50023-7004
Phone (515) 965-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F-112601IAMDWomen's Health Nurse Practitioner
F112601IAMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation CurrentSince Jul 23, 2022 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Mercy Clinics, Inc. Past Accepting new patients
Obstetrical Gynecological Associates of Des Moines PLC PastSince Jan 1, 2006 Accepting new patients

Locations

905 SW Oralabor Rd
Ankeny, IA 50023
Phone (515) 965-0300

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

Interoperability endpoints

  • Direct secure messaging: jpanosh869390@direct.unitypoint.org

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": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1134439870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 SW ORALABOR RD",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500237004",
            "telephone_number": "515-965-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 SW ORALABOR RD",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500237004",
            "telephone_number": "515-965-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2304 UNIVERSITY AVE",
            "address_purpose": "LOCATION",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503114316",
            "country_code": "US",
            "telephone_number": "877-811-7526",
            "fax_number": "515-280-9525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANOSH",
        "first_name": "JEANNA",
        "middle_name": "N",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2024-04-24",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "IA",
            "license": "F112601",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IA",
            "license": "F-112601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

Verify at the official NPI Registry.