Individual provider Active NPI

Jessica Leigh Reinking, ARNP

  • Family Nurse Practitioner
  • Spirit Lake, IA
National Provider Identifier
1346891926
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A156617 Issued in IA
Practice address
2700 23Rd St Ste C
Spirit Lake, IA 51360-1158
Phone
(712) 336-3750
NPI assigned
Sep 24, 2019
Last updated
Sep 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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 A156617 IA Primary

Addresses

Primary practice location

2700 23Rd St Ste C
Spirit Lake, IA 51360-1158

Mailing address

502 22ND St
Spirit Lake, IA 51360-1522

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200102002713 IA Practitioner - Nurse Practitioner 5193159960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakes Regional HealthcareGroup PAC ID 0941118442, 37 clinicians

Practice addresses (Care Compare)

2301 Hwy 71
Spirit Lake, IA 51360-1184

2301 Hwy 71
Spirit Lake, IA 51360-1253
Phone (712) 336-1230

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A156617IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakes Regional Healthcare Current Accepting new patients
Lakes Regional Healthcare Past Accepting new patients

Locations

2301 Highway 71
Spirit Lake, IA 51360
Phone (712) 336-3750

Interoperability endpoints

  • Direct secure messaging: jessica.reinking@avera.sdhealthlink.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 29

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1346891926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 22ND ST",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513601522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 23RD ST STE C",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513601158",
            "telephone_number": "712-336-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINKING",
        "first_name": "JESSICA",
        "middle_name": "LEIGH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A156617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spirit Lake, IA

Sources for this page

Verify at the official NPI Registry.