Active NPI
Jean R Stamp, A.R.N.P.
- Nurse Practitioner
- Harlan, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 059321
- Practice address
- 1220 Chatburn Ave
Harlan, IA 51537-2009 - Phone
- (712) 755-5130
- Fax
- (712) 755-4470
- NPI assigned
- Aug 25, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 059321 | IA | Primary |
Addresses
Primary practice location
1220 Chatburn Ave
Harlan, IA 51537-2009
Mailing address
1213 Garfield Ave
Harlan, IA 51537-2057
Phone (712) 755-5161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0475459 | Medicaid | IA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Shelby County Chris a Myrtue Memorial Hospital
Practice addresses (Care Compare)
1110 Morningview Dr
Harlan, IA 51537-2013
Phone (712) 755-5056
1213 Garfield Ave
Harlan, IA 51537-2057
Phone (712) 755-5161
1213 Garfield Ave
Harlan, IA 51537-2071
1303 Garfield Ave
Harlan, IA 51537-2063
Phone (712) 755-5056
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 059321 | IA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shelby County Chris a Myrtue Memorial Hospital | Current | Accepting new patients | |
| Shelby County Chris a. Myrtue Memorial Hospital | Nurse Practitioner | Current | Accepting new patients |
| Burgess Health Center | Nurse Practitioner | Past | Accepting new patients |
| Burgess Health Center | Nurse Practitioner | Past | Accepting new patients |
Locations
1220 Chatburn Ave
Harlan, IA 51537
Phone (712) 755-5056
1213 Garfield Ave
Harlan, IA 51537
Phone (712) 755-4316
Interoperability endpoints
- jstamp117545@uihcdirect.org
Organizations & group practices 4
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 Myrtue Medical Center
- Critical Access Hospital
- Harlan, IA
- NPI 1598871469
-
dba Myrtue Medical Center
- Family Medicine Physician
- Harlan, IA
- NPI 1922184175
Nurse Practitioner
-
dba Burgess Family Clinic - Sloan
- Rural Health Clinic/Center
- Sloan, IA
- NPI 1013243633
Nurse Practitioner
-
dba Burgess Clinic - Whiting
- Rural Health Clinic/Center
- Whiting, IA
- NPI 1487022216
Nurse Practitioner
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Myrtue Medical Center
- Critical Access Hospital
- Harlan, IA
- NPI 1598871469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1386752996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 GARFIELD AVE",
"city": "HARLAN",
"state": "IA",
"postal_code": "515372057",
"telephone_number": "712-755-5161",
"fax_number": "712-755-4312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 CHATBURN AVE",
"city": "HARLAN",
"state": "IA",
"postal_code": "515372009",
"telephone_number": "712-755-5130",
"fax_number": "712-755-4470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAMP",
"first_name": "JEAN",
"middle_name": "R",
"credential": "A.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "059321",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0475459",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harlan, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.