NPIMap

Individual provider Active NPI

Jodi Dale Stille

  • Nurse Practitioner
  • Mason City, IA
National Provider Identifier
1407521164
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A164473 Issued in IA
Practice address
1037 19TH St SW
Mason City, IA 50401-6436
Phone
(319) 666-4224
NPI assigned
Aug 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A16443 IA
Nurse Practitioner 363L00000X A164473 IA Primary

Addresses

Primary practice location

1037 19TH St SW
Mason City, IA 50401-6436

Mailing address

2431 Wiley Blvd SW # 1013
Cedar Rapids, IA 52404-6003
Phone (775) 981-0217

Other names 1

  • Jodi Dale Howard Former name

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
I20211216000821 IA Practitioner - Nurse Practitioner 2264823749 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Sioux Valley Memorial Hospital AssociationGroup PAC ID 4880501881, 21 clinicians
Sports Rehab and Professional Therapy Associates IncGroup PAC ID 1658289608, 124 clinicians
Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Practice addresses (Care Compare)

225 Main St
Aurelia, IA 51005-7791
Phone (712) 434-2101

300 Sioux Valley Dr
Cherokee, IA 51012-1205
Phone (712) 225-6265

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

5885 Sunnybrook Dr
Suite E141
Sioux City, IA 51106-4250
Phone (712) 266-2760

Hospital & facility affiliations

  • Cherokee Regional Hospice Hospice, Cherokee, IA, CCN 161537
  • Cherokee Regional Medical Center Hospital, Cherokee, IA, CCN 161362
  • St Lukes Regional Medical Center Hospital, Sioux City, IA, CCN 160146
  • Buena Vista Regional Medical Center Hospital, Storm Lake, IA, CCN 161375
  • Careage Hills Rehabilitation and Healthcare Nursing home, Cherokee, IA, CCN 165428

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A16443IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Iowa PLLC CurrentSince Jun 20, 2022 Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Dec 1, 2024 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Chess Medicine PLLC PastSince May 27, 2023 Accepting new patients
St Lukes Health Resources PastSince Dec 1, 2024 Accepting new patients

Locations

200 16th Ave E
Spc Care
Albia, IA 52531

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

1037 19th St SW
Mason City, IA 50401
Phone (641) 423-0428

444 N West View Dr
Spc Care
Osceola, IA 50213

5885 Sunnybrook Dr
Ste E141
Sioux City, IA 51106
Phone (712) 266-2760

3035 Hamilton Blvd
Sioux City, IA 51104
Phone (712) 535-7400

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jstille977313@direct.unitypoint.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 5

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": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1407521164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 WILEY BLVD SW # 1013",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524046003",
            "telephone_number": "775-981-0217",
            "fax_number": "877-384-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 19TH ST SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504016436",
            "telephone_number": "319-666-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLE",
        "first_name": "JODI",
        "middle_name": "DALE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-13",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A16443",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A164473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "HOWARD",
            "middle_name": "DALE",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mason City, IA

Sources for this page

Verify at the official NPI Registry.