Individual provider Active NPI

Jennifer Linn Gerrietts, D.O.

  • Family Medicine Physician
  • Grimes, IA
National Provider Identifier
1437312485
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO-03997 Issued in IA
Practice address
250 SW Brookside Dr
Grimes, IA 50111-4900
Phone
(515) 300-3900
Fax
(515) 300-3901
NPI assigned
Jul 9, 2008
Last updated
May 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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 DO-03997 IA Primary

Addresses

Primary practice location

250 SW Brookside Dr
Grimes, IA 50111-4900

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 300-3900

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090811000277 IA Practitioner - Family Practice 6507910551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinics IncGroup PAC ID 7911810882, 441 clinicians

Practice addresses (Care Compare)

5615 NW 86TH St
Mercyone Johnston Family Medicine Clinic
Johnston, IA 50131-1738
Phone (515) 643-6000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO-03997IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinics, Inc Current Accepting new patients
Mercy Clinics, Inc. Family Medicine Current Accepting new patients
Mercy Clinics, Inc. CurrentSince Aug 15, 2001 Accepting new patients
Mercy Clinics, Inc. Family Medicine CurrentSince Aug 15, 2001 Accepting new patients

Locations

2605 SW White Birch Dr
Ankeny, IA 50023
Phone (515) 643-7100

330 Laurel St
Ste 1200
Des Moines, IA 50314
Phone (515) 643-5454

250 SW Brookside Dr
Grimes, IA 50111
Phone (515) 300-3900

5615 NW 86th St
Johnston, IA 50131
Phone (515) 223-5466

Interoperability endpoints

  • Direct secure messaging: jgerrietts3945584@direct.trinity-health.org

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 4

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1437312485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-300-3900",
            "fax_number": "515-300-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 SW BROOKSIDE DR",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501114900",
            "telephone_number": "515-300-3900",
            "fax_number": "515-300-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERRIETTS",
        "first_name": "JENNIFER",
        "middle_name": "LINN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "DO-03997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grimes, IA

Sources for this page

Verify at the official NPI Registry.