NPIMap

Individual provider Active NPI

Joni R Hanshaw, CRNP

  • Family Medicine Physician
  • Fairfield, IA
National Provider Identifier
1396083531
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A110830 Issued in IA
Practice address
2000C S Main St
Fairfield, IA 52556-9572
Phone
(641) 472-4141
Fax
(641) 469-3516
NPI assigned
Jan 23, 2013
Last updated
Jan 30, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A110830 IA Primary

Addresses

Primary practice location

2000C S Main St
Fairfield, IA 52556-9572

Mailing address

2000C S Main St
Fairfield, IA 52556-9572
Phone (641) 472-4141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131119000630 IA Practitioner - Nurse Practitioner 0345476495 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson County HospitalGroup PAC ID 9335059575, shared by 4 NPIs, 48 clinicians

Practice addresses (Care Compare)

2000 S Main St
Fairfield, IA 52556-9572
Phone (641) 472-4111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A110830IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson County Hospital Family Medicine CurrentSince Apr 11, 2016 Accepting new patients
Ottumwa Health Group LLC CurrentSince Nov 7, 2015 Accepting new patients
Jefferson County Hospital Current Accepting new patients
Ottumwa Health Group LLC CurrentSince Nov 7, 2015 Accepting new patients
Jefferson County Hospital CurrentSince Apr 11, 2016 Accepting new patients
Jefferson County Hospital Past Accepting new patients

Locations

2000 S Main St
Fairfield, IA 52556
Phone (641) 469-4204

2000C S Main St
Fairfield, IA 52556
Phone (515) 472-4141

1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111

Interoperability endpoints

  • Direct secure messaging: jhanshaw83769@uihcdirect.org

Organizations & group practices 6

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 7

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": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1396083531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000C S MAIN ST",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525569572",
            "telephone_number": "641-472-4141",
            "fax_number": "641-469-3516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000C S MAIN ST",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525569572",
            "telephone_number": "641-472-4141",
            "fax_number": "641-469-3516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSHAW",
        "first_name": "JONI",
        "middle_name": "R",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "A110830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, IA

Sources for this page

Verify at the official NPI Registry.