Jill A. Hustedt, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A102988 Issued in IA

Practice address

337 11TH St SW
Spencer, IA 51301-5849

Phone

(712) 792-7500

Fax

(712) 792-7510

NPI assigned

Mar 5, 2018

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

Other names 1

• Jill A. Webb Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mobiclinix LLC

  • Community Health Nurse Practitioner
  • Bronson, IA
  • NPI 1326812777

  IA

  Medicare reassignment NPD
• Alere Home Monitoring, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Livermore, CA
  • NPI 1760418370
  NPD
• Boone County Hospital

  • Critical Access Hospital
  • Boone, IA
  • NPI 1467434225
  NPD (past)
• Redenbaugh Chiropractic PC

  • Chiropractor
  • Storm Lake, IA
  • NPI 1356508394
  NPD (past)

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1154823326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 11TH ST SW",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513015849",
            "telephone_number": "712-792-7500",
            "fax_number": "712-792-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 11TH ST SW",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513015849",
            "telephone_number": "712-792-7500",
            "fax_number": "712-792-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSTEDT",
        "first_name": "JILL",
        "middle_name": "A.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-05",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A102988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "WEBB",
            "middle_name": "A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dawn L Howley, ARNP, CS
• Stacie K Huckfelt
• Terry R Huisman, LMHC
• Sherri Ann Huizenga, CADA, LBSW
• Kenneth Ray Hunziker, M.D.
• Hy-Vee Inc
• Ike & Ivy Learning
• Iowa Eye Institute PC
• Iowa Eye Institute, P.C.
• Iowa Hearing Associates LLC

• All providers in Spencer, IA
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.