Individual provider Active NPI

Jami Jo Dowell, NP

  • Nurse Practitioner
  • Council Bluffs, IA
National Provider Identifier
1194295907
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A112841 Issued in IA
Practice address
3502 Metro Dr
Council Bluffs, IA 51501-7761
Phone
(712) 256-7172
NPI assigned
Dec 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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 A112841 IA Primary

Addresses

Primary practice location

3502 Metro Dr
Council Bluffs, IA 51501-7761

Mailing address

15279 Pinecrest Dr
Council Bluffs, IA 51503-2476
Phone (712) 256-9192

Other practice location 1

1400 Senate Ave Ste 105
Red Oak, IA 51566-1271
Phone (712) 623-7250

Other practice location 2

14440 F St Ste 121
Omaha, NE 68137-1005
Phone (402) 933-4450

Other names 1

  • Jami Jo Stogdill/Patterson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 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
I20181220002499 IA Practitioner - Nurse Practitioner 1759626633 Reassigns benefits to 2 organizations
I20201116001489 NE Practitioner - Nurse Practitioner 1759626633 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Clinic IncGroup PAC ID 4880506062, 557 clinicians

Practice addresses (Care Compare)

312 S 15TH St
Omaha, NE 68102-2207
Phone (402) 354-2273

808 E Pierce St
Methodist Physicians Clinic
Council Bluffs, IA 51503-4652
Phone (712) 396-4360

Hospital & facility affiliations

  • Methodist Jennie Edmundson Hospital, Council Bluffs, IA, CCN 160047

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A112841IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kakish MD PC CurrentSince Oct 15, 2020 Accepting new patients
Kakish Schmidt and Partners Inc CurrentSince Sep 28, 2020 Accepting new patients

Locations

3502 Metro Dr
Ste 200
Council Bluffs, IA 51501
Phone (712) 256-5347

11711 Arbor St
Ste 240
Omaha, NE 68144
Phone (308) 962-0146

14440 F St
Ste 121
Omaha, NE 68137
Phone (402) 933-4450

Organizations & group practices 3

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 1

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": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1194295907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15279 PINECREST DR",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515032476",
            "telephone_number": "712-256-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 METRO DR",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515017761",
            "telephone_number": "712-256-7172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Senate Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Red Oak",
            "state": "IA",
            "postal_code": "515661271",
            "country_code": "US",
            "telephone_number": "712-623-7250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14440 F St Ste 121",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681371005",
            "country_code": "US",
            "telephone_number": "402-933-4450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOWELL",
        "first_name": "JAMI",
        "middle_name": "JO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A112841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMI",
            "last_name": "STOGDILL/PATTERSON",
            "middle_name": "JO",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Council Bluffs, IA

Sources for this page

Verify at the official NPI Registry.