NPIMap

Individual provider Active NPI

Jennifer L Mockus, ARNP

  • Primary Care Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1184167108
Registry record updated Jun 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
H090670 Issued in IA
Practice address
411 Laurel St Ste 1225
Des Moines, IA 50314-3017
Phone
(515) 633-3770
Fax
(515) 288-6713
NPI assigned
Nov 22, 2016
Last updated
Jun 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X H090670 IA Primary

Addresses

Primary practice location

411 Laurel St Ste 1225
Des Moines, IA 50314-3017

Mailing address

PO Box 9170
Des Moines, IA 50306-9170
Phone (515) 633-3600

Other practice location 1

411 Laurel St
Suite A250
Des Moines, IA 50314-3017
Phone (515) 235-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170417000684 IA Practitioner - Nurse Practitioner 5991081523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1715 1St Ave SE
Suite 200
Cedar Rapids, IA 52402-5432

405 SW 5TH St E
Des Moines, IA 50309-4675

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H090670IAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP CurrentSince Feb 6, 2025 Accepting new patients
Catholic Health Initiatives-Iowa Corp CurrentSince Mar 13, 2017 Accepting new patients
Metro Geriatric Services 2 LLC CurrentSince Jun 1, 2025 Accepting new patients
Hy-Vee Health Exemplar Care PLC CurrentSince Oct 17, 2025 Accepting new patients
Catholic Health Initiatives-Iowa Corp CurrentSince Mar 13, 2017 Accepting new patients

Locations

1816 Philadelphia St
Ames, IA 50010
Phone (515) 232-2500

13435 University Ave
Ste 500
Clive, IA 50325

405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259

411 Laurel St
Ste 1225
Des Moines, IA 50314
Phone (515) 633-3770

411 Laurel St
Ste A250
Des Moines, IA 50314
Phone (515) 235-5000

1401 50th St
Ste 100
West Des Moines, IA 50266
Phone (515) 225-1845

1501 50th St
Ste 110
West Des Moines, IA 50266

7300 Westown Pkwy
Ste 330
West Des Moines, IA 50266
Phone (515) 650-4370

Interoperability endpoints

  • Direct secure messaging: jennifer.mockus.1@25062.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592092800000",
    "number": "1184167108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9170",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503069170",
            "telephone_number": "515-633-3600",
            "fax_number": "515-633-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LAUREL ST STE 1225",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143017",
            "telephone_number": "515-633-3770",
            "fax_number": "515-288-6713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Laurel St",
            "address_2": "Suite A250",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503143017",
            "country_code": "US",
            "telephone_number": "515-235-5000",
            "fax_number": "515-288-6713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOCKUS",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-22",
        "last_updated": "2020-06-14",
        "certification_date": "2020-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IA",
            "license": "H090670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.