Individual provider Active NPI

Jared Wynn Nelson, M.D.

  • Diagnostic Radiology Physician
  • Coralville, IA
National Provider Identifier
1235455056
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
38955 Issued in IA
Practice address
2769 Heartland Drive
Suite 105
Coralville, IA 52241
Phone
(319) 545-7300
Fax
(319) 545-7314
NPI assigned
Apr 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 38955 IA Primary
Diagnostic Radiology Physician 2085R0202X MT186557 PA

Addresses

Primary practice location

2769 Heartland Drive
Suite 105
Coralville, IA 52241

Mailing address

2771 Oakdale Blvd Ste 3
Coralville, IA 52241-9747
Phone (319) 545-7310

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100804000745 IA Practitioner - Diagnostic Radiology 9032242524 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Iowa, RJ & L Carver College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mahaska County HospitalGroup PAC ID 2769388677, shared by 6 NPIs, 128 clinicians
Radiologic Medical Services PCGroup PAC ID 3577451491, 29 clinicians
Corridor Radiology LLCGroup PAC ID 7214179829, 7 clinicians

Practice addresses (Care Compare)

1326 Santa Fe Dr
Iowa City, IA 52246-8646
Phone (641) 672-3315

201 Trueblood Ave
Oskaloosa, IA 52577-1757
Phone (641) 676-7361

2104 Cedarwood Dr
Suite 100
Muscatine, IA 52761-2662
Phone (563) 263-3400

2769 Heartland Dr
Coralville, IA 52241-2732
Phone (319) 545-7300

300 W May St
Marengo Memorial Hospital
Marengo, IA 52301-1261
Phone (319) 642-5543

500 E Market St
Iowa City, IA 52245-2633
Phone (319) 339-3629

Hospital & facility affiliations

  • Mahaska Health Partnership Hospital, Oskaloosa, IA, CCN 161379
  • Compass Memorial Healthcare Hospital, Marengo, IA, CCN 161317
  • Pella Regional Health Center Hospital, Pella, IA, CCN 161367

Merit-based Incentive Payment System (MIPS)

Final score
95.71 of 100Reported as apm
Quality
89.85
Promoting interoperability
94.05
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.17 of 100Reported as group
Quality
75.5
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
77.5 of 100Reported as individual
Quality
55
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38955IAMDDiagnostic Radiology Physician
MT186557PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiologic Medical Services PC Diagnostic Radiology CurrentSince Jun 1, 2011 Accepting new patients
Mahaska County Hospital Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Corridor Radiology, LLC Diagnostic Radiology CurrentSince Jul 1, 2013 Accepting new patients
Mahaska County Hospital Current Accepting new patients
Sincera Health PLLC Past Accepting new patients

Locations

2769 Heartland Dr
Ste 307
Coralville, IA 52241
Phone (319) 545-7310

2769 Heartland Dr
Ste 105
Coralville, IA 52241
Phone (319) 545-7300

500 E Market St
Iowa City, IA 52245
Phone (319) 339-0300

2771 Oakdale Blvd
Ste 3
Oakdale, IA 52241
Phone (319) 545-7310

1229 C Ave E
Oskaloosa, IA 52577
Phone (641) 672-3100

201 Trueblood Ave
Oskaloosa, IA 52577
Phone (641) 672-3360

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1235455056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2771 OAKDALE BLVD STE 3",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522419747",
            "telephone_number": "319-545-7310",
            "fax_number": "319-626-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2769 HEARTLAND DRIVE",
            "address_2": "SUITE 105",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "52241",
            "telephone_number": "319-545-7300",
            "fax_number": "319-545-7314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JARED",
        "middle_name": "WYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-19",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "38955",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MT186557",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

Verify at the official NPI Registry.