Individual provider Active NPI

Jessica Tiernan, ARNP

  • Family Nurse Practitioner
  • Ankeny, IA
National Provider Identifier
1285003012
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A122232 Issued in IA
Practice address
6950 NE 14TH St Ste 36
Ankeny, IA 50023-8903
Phone
(515) 289-1515
Fax
(515) 289-1511
NPI assigned
Sep 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A122232 IA Primary

Addresses

Primary practice location

6950 NE 14TH St Ste 36
Ankeny, IA 50023-8903

Mailing address

6950 NE 14TH St Ste 36
Ankeny, IA 50023-8903
Phone (515) 289-1515

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
I20231226001545 IA Order and Referring Only - Family PracticePractitioner - Family Practice 9739498106

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A122232IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Birchwood Wellness CurrentSince Oct 23, 2022 Accepting new patients
Natural Health Family Medicine Clinic Current Accepting new patients

Locations

6950 NE 14th St
Ste 36
Ankeny, IA 50023
Phone (515) 289-1515

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1285003012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 NE 14TH ST STE 36",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500238903",
            "telephone_number": "515-289-1515",
            "fax_number": "515-289-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 NE 14TH ST STE 36",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500238903",
            "telephone_number": "515-289-1515",
            "fax_number": "515-289-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIERNAN",
        "first_name": "JESSICA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A122232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

Verify at the official NPI Registry.