Jennifer Cherop Melly, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

G159978 Issued in IA

Practice address

3509 E 29TH St
Des Moines, IA 50317-4253

Phone

(515) 248-1600

Fax

(515) 248-1610

NPI assigned

Sep 10, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Cherop Sambu Former name

Medicare fee-for-service enrollment

Enrolled in IA, NM2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Broadlawns Medical CenterGroup PAC ID 3678466166, 302 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Broadlawns Medical Center Hospital, Des Moines, IA, CCN 160101

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Broadlawns Medical Center

  • General Acute Care Hospital
  • Des Moines, IA
  • NPI 1467447508
  Medicare reassignment Care Compare group NPD
• Broadlawns Medical Center

  • Pharmacy
  • Des Moines, IA
  • NPI 1013197060
  NPD
• Integrative Counseling Solutions Inc.

  • Community/Behavioral Health Agency
  • West Des Moines, IA
  • NPI 1942437231
  NPD (past)

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

• Broadlawns Medical Center

  • General Acute Care Hospital
  • Des Moines, IA
  • NPI 1467447508
  Care Compare affiliation

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1356956916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 UNIVERSITY AVE STE 200",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142355",
            "telephone_number": "515-248-1447",
            "fax_number": "515-248-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 E 29TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503174253",
            "telephone_number": "515-248-1600",
            "fax_number": "515-248-1610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 NW 18TH ST, Ankeny IA 50023",
            "address_purpose": "LOCATION",
            "city": "Ankeny",
            "state": "IA",
            "postal_code": "50023",
            "country_code": "US",
            "telephone_number": "515-233-1122 x125",
            "fax_number": "515-233-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "640 S 19th St",
            "address_purpose": "LOCATION",
            "city": "Nevada",
            "state": "IA",
            "postal_code": "502012902",
            "country_code": "US",
            "telephone_number": "515-382-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELLY",
        "first_name": "JENNIFER",
        "middle_name": "CHEROP",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G159978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SAMBU",
            "middle_name": "CHEROP",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Peyton Meisner
• John Raymond Meister, M.DIVINITY, IADC
• Ryan Patrick Melcher, M.D.
• Ivy Reyes Melgarejo
• Melissa Dee Larsen
• Menara Med LLC
• Menara Med LLC
• Davis B Mendel, DO
• Erin Renee Mendenhall-Brophy
• Alexander Menning, DO

• Psychiatric/Mental Health Nurse Practitioner in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.

Verify at the official NPI Registry.