Active NPI
Jared Wynn Nelson, M.D.
- Diagnostic Radiology Physician
- Coralville, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 38955
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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 Hospital
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
- Compass Memorial Healthcare
- Pella Regional Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.71 of 100
- Quality
- 89.85
- Promoting interoperability
- 94.05
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.17 of 100
- Quality
- 75.5
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.5 of 100
- Quality
- 55
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38955 | IA | MD | Diagnostic Radiology Physician |
| MT186557 | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiologic Medical Services PC | Diagnostic Radiology | Current | Accepting new patients |
| Mahaska County Hospital | Diagnostic Radiology | Current | Accepting new patients |
| Corridor Radiology, LLC | Diagnostic Radiology | Current | 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.
-
- Diagnostic Radiology Physician
- Coralville, IA
- NPI 1679917371
-
- Diagnostic Radiology Physician
- Coralville, IA
- NPI 1023061702
-
- Critical Access Hospital
- Oskaloosa, IA
- NPI 1356320659
-
- Clinic/Center
- Pella, IA
- NPI 1811759715
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Oskaloosa, IA
- NPI 1356320659
-
- Critical Access Hospital
- Marengo, IA
- NPI 1053368191
-
- Critical Access Hospital
- Pella, IA
- NPI 1578520888
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.