Active NPI
Jenna Renee Boley, FNP-BC
- Family Nurse Practitioner
- Cedar Rapids, IA
National Provider Identifier
1427682822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A158037
- Practice address
- 855 A Ave NE Ste 200
Cedar Rapids, IA 52402-5064 - Phone
- (319) 391-5501
- Fax
- (319) 743-2610
- NPI assigned
- Feb 25, 2020
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A158037 | IA | Primary |
Addresses
Primary practice location
855 A Ave NE Ste 200
Cedar Rapids, IA 52402-5064
Mailing address
855 A Avenue NE
PO Box 3080
Cedar Rapids, IA 52406-3080
Phone (319) 391-5501
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
855 A Ave NE
Suite 200
Cedar Rapids, IA 52402-5064
Phone (319) 391-5501
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Cedar Rapids, IA
- NPI 1366525321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1427682822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 A AVENUE NE",
"address_2": "PO BOX 3080",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524063080",
"telephone_number": "319-391-5501",
"fax_number": "319-743-2610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 A AVE NE STE 200",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524025064",
"telephone_number": "319-391-5501",
"fax_number": "319-743-2610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLEY",
"first_name": "JENNA",
"middle_name": "RENEE",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-25",
"last_updated": "2024-07-30",
"certification_date": "2020-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A158037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.