Active NPI
Jeanne-Marie Fournier, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Cedar Rapids, IA
National Provider Identifier
1245990878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- G163669
- Practice address
- 4403 1St Ave SE Ste 220
Cedar Rapids, IA 52402-3221 - Phone
- (319) 900-4525
- Fax
- (319) 303-7070
- NPI assigned
- Dec 22, 2021
- Last updated
- Aug 7, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | G163669 | IA | Primary |
Addresses
Primary practice location
4403 1St Ave SE Ste 220
Cedar Rapids, IA 52402-3221
Mailing address
4403 1St Ave SE Ste 220
Cedar Rapids, IA 52402-3221
Phone (319) 900-4525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G163669 | IA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Medicine 360 | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
4403 1st Ave SE
Ste 220
Cedar Rapids, IA 52402
Phone (319) 900-4525
Organizations & group practices 1
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.
-
dba Mm360
- Psychiatric/Mental Health Nurse Practitioner
- Cedar Rapids, IA
- NPI 1912722554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786060800000",
"number": "1245990878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4403 1ST AVE SE STE 220",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524023221",
"telephone_number": "319-900-4525",
"fax_number": "319-303-7070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4403 1ST AVE SE STE 220",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524023221",
"telephone_number": "319-900-4525",
"fax_number": "319-303-7070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOURNIER",
"first_name": "JEANNE-MARIE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-22",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IA",
"license": "G163669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Rapids, IA
- Foundation 2, Inc
- Four Oaks Family and Children's Services
- Four Oaks Family and Children's Services
- Four Oaks Family and Children's Services
- Four Oaks Family and Children's Services
- Jenna Fourre
- Sarah L Fowler, DNP, RN
- Fox Eye Laser and Cosmetic Institute PC (Fox Eye Laser & Cosmetic Institute PC)
- Fox Eye Surgery, LLC (First Choice Surgery Center)
- Martin Francis Foxen, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.