Jesse Becker, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A142478 Issued in IA

Practice address

6600 Westown Pkwy
Ste 220
West Des Moines, IA 50266-7707

Phone

(515) 241-2250

Fax

(515) 241-2265

NPI assigned

Dec 12, 2016

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

• Jesse Rudlaff Former name

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jesse.becker.1@25062.direct.athenahealth.com

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.

• Hy-Vee Health Exemplar Care PLC

  • Family Medicine Physician
  • West Des Moines, IA
  • NPI 1780270652
  NPD
• QV Urgent Care Ia PLLC

  • Urgent Care Clinic/Center
  • Mt. Pleasant, IA
  • NPI 1407465917
  NPD (past)

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1396289229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 WESTOWN PKWY",
            "address_2": "STE 220",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667707",
            "telephone_number": "515-241-2250",
            "fax_number": "515-241-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 WESTOWN PKWY",
            "address_2": "STE 220",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667707",
            "telephone_number": "515-241-2250",
            "fax_number": "515-241-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "JESSE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-12",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A142478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSE",
            "last_name": "RUDLAFF",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Larry Beaty, M.D.
• Bechtel Chiropractic and Wellness
• Derek Ray Bechtel
• Madelyn Beck
• Anna Catharine Becker, FNP-C
• Joshua A. S. Becker, PA-C
• Lily Becker, OTD, OTR/L
• Marcie Lynn Becker, P.T.
• Thomas Dean Becker, D.D.S.
• Enrique R Bedia, MD

• Family Nurse Practitioner in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.