Individual provider Active NPI

Kerri A Johnson, ARNP

  • Family Nurse Practitioner
  • Cedar Falls, IA
National Provider Identifier
1386150001
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A135178 Issued in IA
Practice address
5100 Prairie Pkwy Ste 302
Cedar Falls, IA 50613-8155
Phone
(319) 277-1990
Fax
(319) 277-0572
NPI assigned
Dec 18, 2017
Last updated
Dec 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 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 A135178 IA Primary

Addresses

Primary practice location

5100 Prairie Pkwy Ste 302
Cedar Falls, IA 50613-8155

Mailing address

5100 Prairie Pkwy Ste 302
Cedar Falls, IA 50613-8155
Phone (319) 277-1990

Other names 1

  • Kerri A Klemmensen Former name

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
I20180511002329 IA Practitioner - Nurse Practitioner 3779847082 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5100 Prairie Pkwy
Suite 302
Cedar Falls, IA 50613-8155
Phone (319) 277-1990

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Salahuddin Syed MD PC Current Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Nov 3, 2024 Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Nov 3, 2024 Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince May 1, 2018 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Central Iowa Healthcare Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

55 Unitypoint Way
Marshalltown, IA 50158
Phone (641) 754-5145

8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363

312 9th St SW
Ste 1200
Waverly, IA 50677
Phone (319) 352-0745

Interoperability endpoints

  • Direct secure messaging: kklemmensen154297@direct.unitypoint.org

Organizations & group practices 7

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1386150001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 PRAIRIE PKWY STE 302",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506138155",
            "telephone_number": "319-277-1990",
            "fax_number": "319-277-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 PRAIRIE PKWY STE 302",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506138155",
            "telephone_number": "319-277-1990",
            "fax_number": "319-277-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KERRI",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-18",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A135178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRI",
            "last_name": "KLEMMENSEN",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cedar Falls, IA

Sources for this page

Verify at the official NPI Registry.