Jacy L Kennedy, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A155098 Issued in IA

Practice address

1207 N Jefferson St Ste 1
Ottumwa, IA 52501-2021

Phone

(641) 682-5437

Fax

(641) 682-1628

NPI assigned

Jun 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foot and Ankle Clinics of Southern Iowa PCGroup PAC ID 6305736026, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

80.93 of 100Reported as group

Quality

81.03

Promoting interoperability

100

Improvement activities

40

Cost

50.79

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14754/brand/1/csg/1/fhir/r4
• Direct secure messaging: jacy.kennedy.1@20462.direct.athenahealth.com

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.

• Foot & Ankle Clinics of Southern Iowa, PC

  • Podiatrist
  • Ottumwa, IA
  • NPI 1154549640

  IA

  Medicare reassignment Care Compare group NPD
• Bloom Pediatrics of Southern Iowa PLLC

  • Family Medicine Physician
  • Ottumwa, IA
  • NPI 1225974892
  NPD Authorized official
• All Ages Pediatrics P.C.

  • Pediatrics Physician
  • Ottumwa, IA
  • NPI 1619115888
  NPD (past)

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1134780968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 N JEFFERSON ST STE 1",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525012021",
            "telephone_number": "641-682-5437",
            "fax_number": "641-682-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 N JEFFERSON ST STE 1",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525012021",
            "telephone_number": "641-682-5437",
            "fax_number": "641-682-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "JACY",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A155098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darcy Elaine Keasling, LPN
• Suszanne Rae Keasling, RN
• Kathryn Elizabeth Keith, LMSW
• Chad M Kelley, DPT
• Kimberley S Kelly, LMHC, LMSW, IADC
• Scott Byron King, DPM
• Bekki Jane Klodt, LMHC, NCC
• Tina Marie Knight
• Kobuk Dialysis LLC
• Amy Kumagai, D.O.

• All providers in Ottumwa, IA
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.