Active NPI
Jessica Lynn Wasson, ARNP-CNP
- Family Nurse Practitioner
- Moline, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A115227
- Practice address
- 550 30TH Ave Ste 12
Moline, IL 61265-5975 - Phone
- (309) 762-5513
- Fax
- (309) 762-5519
- NPI assigned
- Aug 5, 2016
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A115227 | IA | Primary |
Addresses
Primary practice location
550 30TH Ave Ste 12
Moline, IL 61265-5975
Mailing address
550 30TH Ave
Moline, IL 61265-5975
Phone (309) 762-5513
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
202 Picard St
Alpha, IL 61413-5023
Phone (309) 629-4601
3200 W Kimberly Rd
Mercyone Genesis Davenport Health P
Davenport, IA 52806-3059
Phone (563) 421-0100
915 13TH Ave N
Mercyone Clinton Plaza
Clinton, IA 52732-5067
Phone (563) 243-2511
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A115227 | IA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Health System | Current | Accepting new patients | |
| Genesis Health System | Current | Accepting new patients | |
| Mercy Specialty Clinic | Current | Accepting new patients | |
| Thomas D Ade MD PLLC | Current | Accepting new patients | |
| Medical Associates of Clinton, Iowa P.L.C. | Current | Accepting new patients | |
| Mercy Specialty Clinic | Current | Accepting new patients |
Locations
1410 N 4th St
Clinton, IA 52732
Phone (563) 244-5555
915 13th Ave N
Clinton, IA 52732
Phone (319) 243-2511
3200 W Kimberly Rd
#P
Davenport, IA 52806
Phone (563) 421-0100
1351 W Central Park Ave
Ste 4100
Davenport, IA 52804
Phone (563) 355-9191
619 5th St
Durant, IA 52747
Phone (563) 785-4487
621 S Illinois Ave
Ste 103
Mason City, IA 50401
202 Picard St
Alpha, IL 61413
Phone (309) 629-4601
306 46th Ave
East Moline, IL 61244
Phone (309) 796-2329
550 30th Ave
Moline, IL 61265
Phone (309) 797-2567
550 30th Ave
Ste 12
Moline, IL 61265
Phone (309) 736-5568
Organizations & group practices 8
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.
-
dba Genesis Health Group
- Family Medicine Physician
- Davenport, IA
- NPI 1477654945
IL
-
dba MercyOne Specialty Care
- Multi-Specialty Clinic/Center
- Clinton, IA
- NPI 1386832764
-
- Pulmonary Disease Physician
- Moline, IL
- NPI 1912612771
-
- Pulmonary Disease Physician
- Moline, IL
- NPI 1568448884
-
dba Genesis Convenient Care Bettendorf
- Clinic/Center
- Bettendorf, IA
- NPI 1497772008
-
dba Genesis Medical Center Dewitt
- Critical Access Hospital
- De Witt, IA
- NPI 1649368523
-
- Family Medicine Physician
- Clinton, IA
- NPI 1841244431
-
dba MercyOne Clinton North Health Plaza
- Family Medicine Physician
- Clinton, IA
- NPI 1275197998
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Genesis Medical Center - Silvis
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
-
dba Genesis Medical Center Davenport
- General Acute Care Hospital
- Davenport, IA
- NPI 1972542264
-
dba MercyOne Clinton Medical Center
- General Acute Care Hospital
- Clinton, IA
- NPI 1427093962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590019200000",
"number": "1316491442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 30TH AVE",
"city": "MOLINE",
"state": "IL",
"postal_code": "612655975",
"telephone_number": "309-762-5513",
"fax_number": "309-762-5519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 30TH AVE STE 12",
"city": "MOLINE",
"state": "IL",
"postal_code": "612655975",
"telephone_number": "309-762-5513",
"fax_number": "309-762-5519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASSON",
"first_name": "JESSICA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "ARNP-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-05",
"last_updated": "2020-05-21",
"certification_date": "2020-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A115227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.