Individual provider Active NPI

Jennifer Kolwey, ARNP

  • Nurse Practitioner
  • Davenport, IA
National Provider Identifier
1154743540
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A102010 Issued in IA
Practice address
3319 Spring St
Davenport, IA 52807-2125
Phone
(563) 359-1716
Fax
(563) 359-4634
NPI assigned
Jan 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A102010 IA Primary

Addresses

Primary practice location

3319 Spring St
Davenport, IA 52807-2125

Mailing address

3319 Spring St
Davenport, IA 52807-2125
Phone (563) 359-1716

Other identifiers 1

IdentifierTypeStateIssuer
1346229192OtherIAUROLOGICAL ASSOCIATES PC

Other names 1

  • Jenny Kolwey Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jennifer.kolwey.p1@direct.urologyqc.nextgenshare.com Health Information Exchange (HIE)
Direct Messaging Address jennifer.kolwey.p1@direct.urologyqc.nextgenshare.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140328001595 IL Practitioner - Nurse Practitioner 5092946319 Reassigns benefits to 1 organization
I20140407001849 IA Practitioner - Nurse Practitioner 5092946319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urological Associates PCGroup PAC ID 7618866815, 16 clinicians

Practice addresses (Care Compare)

3319 Spring St
Davenport, IA 52807-2125
Phone (563) 359-1641

600 Valley View Dr
Moline, IL 61265-6118
Phone (563) 359-2997

Hospital & facility affiliations

  • Genesis HLTH System Dba Genesis MDL Ctr-Illini Hospital, Silvis, IL, CCN 140275
  • Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033
  • Mercyone Genesis Dewitt Medical Center Hospital, Dewitt, IA, CCN 161313
  • Trinity Muscatine Hospital, Muscatine, IA, CCN 160013
  • Mercyone Clinton Medical Center Hospital, Clinton, IA, CCN 160080

Merit-based Incentive Payment System (MIPS)

Final score
85.93 of 100Reported as group
Quality
76.66
Promoting interoperability
100
Improvement activities
40
Cost
76.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A102010IAMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: jennifer.kolwey.p1@direct.urologyqc.nextgenshare.com
  • Direct secure messaging: jennifer.kolwey.p2@direct.urologyqc.nextgenshare.com

Organizations & group practices 1

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 5

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": "1390176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1154743540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 SPRING ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072125",
            "telephone_number": "563-359-1716",
            "fax_number": "563-359-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 SPRING ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072125",
            "telephone_number": "563-359-1716",
            "fax_number": "563-359-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLWEY",
        "first_name": "JENNIFER",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-20",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A102010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UROLOGICAL ASSOCIATES PC",
            "identifier": "1346229192",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.kolwey.p1@direct.urologyqc.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Urological Associates PC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3319 Spring St",
            "city": "Davenport",
            "state": "IA",
            "country_code": "US",
            "postal_code": "528072125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.kolwey.p1@direct.urologyqc.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Urological Associates PC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3319 Spring St",
            "city": "Davenport",
            "state": "IA",
            "country_code": "US",
            "postal_code": "528072125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "KOLWEY",
            "credential": "ARNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.