Individual provider Active NPI

Jacqueline L. Crampton, ARNP

  • Nurse Practitioner
  • Ida Grove, IA
National Provider Identifier
1407189830
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A-110436 Issued in IA
Practice address
700 E 2ND St
Suite 2
Ida Grove, IA 51445-1601
Phone
(712) 364-2514
NPI assigned
Sep 17, 2009
Last updated
Nov 4, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A-110436 IA Primary

Addresses

Primary practice location

700 E 2ND St
Suite 2
Ida Grove, IA 51445-1601

Mailing address

700 E 2ND St
Suite 2
Ida Grove, IA 51445-1601
Phone (712) 364-2514

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
I20091222000020 IA Practitioner - Nurse Practitioner 6305986480 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Sports Rehab and Professional Therapy Associates IncGroup PAC ID 1658289608, 124 clinicians
St Anthony Regional Hospital and Nursing HomeGroup PAC ID 4688586829, shared by 8 NPIs, 49 clinicians

Practice addresses (Care Compare)

315 W 5TH St
Storm Lake, IA 50588-1743
Phone (712) 732-7724

405 S Clark St
Suite 100
Carroll, IA 51401-3047
Phone (712) 792-2222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.64 of 100Reported as group
Quality
69.74
Promoting interoperability
83
Improvement activities
40
Cost
69.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A-110436IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Anthony Regional Hospital and Nursing Home Current Accepting new patients
St Anthony Regional Hospital and Nursing Home CurrentSince Dec 1, 2019 Accepting new patients
St Anthony Regional Hospital and Nursing Home Past Accepting new patients

Locations

311 S Clark St
Carroll, IA 51401
Phone (712) 792-3581

405 S Clark St
Ste 100
Carroll, IA 51401
Phone (712) 792-1500

215 Main St
Coon Rapids, IA 50058
Phone (712) 999-2237

1820 4th Ave S
Denison, IA 51442
Phone (712) 263-6116

701 E 2nd St
Ida Grove, IA 51445
Phone (712) 364-3311

Interoperability endpoints

  • Direct secure messaging: jlcrampton@cynchealthdsm.org
  • Direct secure messaging: jlcrampton@direct.sarh.kobledirect.com

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, 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": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257292800000",
    "number": "1407189830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E 2ND ST",
            "address_2": "SUITE 2",
            "city": "IDA GROVE",
            "state": "IA",
            "postal_code": "514451601",
            "telephone_number": "712-364-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E 2ND ST",
            "address_2": "SUITE 2",
            "city": "IDA GROVE",
            "state": "IA",
            "postal_code": "514451601",
            "telephone_number": "712-364-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAMPTON",
        "first_name": "JACQUELINE",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-17",
        "last_updated": "2009-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A-110436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ida Grove, IA

Sources for this page

Verify at the official NPI Registry.