Individual provider Active NPI

Jessica Christen

  • Family Nurse Practitioner
  • Bloomfield, IA
National Provider Identifier
1437526258
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A170893 Issued in IA
Practice address
509 N Madison St
Bloomfield, IA 52537-1271
Phone
(641) 664-3832
Fax
(641) 664-1857
NPI assigned
Aug 27, 2015
Last updated
Jan 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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 2015027434 MO
Family Nurse Practitioner 363LF0000X A170893 IA Primary

Addresses

Primary practice location

509 N Madison St
Bloomfield, IA 52537-1271

Mailing address

509 N Madison St
Bloomfield, IA 52537-1271
Phone (641) 664-3832

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jchristen@davis.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150916000822 MO Practitioner - Nurse Practitioner 1951618446 Reassigns benefits to 1 organization
I20230222000744 IA Practitioner - Nurse Practitioner 1951618446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Davis County HospitalGroup PAC ID 3971493040, shared by 4 NPIs, 14 clinicians

Practice addresses (Care Compare)

509 N Madison St
Bloomfield, IA 52537-1271
Phone (641) 664-2145

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A170893IAMDFamily Nurse Practitioner
2015027434MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scotland County Memorial Hospital Current Accepting new patients
Davis County Hospital CurrentSince Jan 1, 2023 Accepting new patients
Scotland County Memorial Hospital CurrentSince Aug 24, 2015 Accepting new patients
Scotland County Memorial Hospital CurrentSince Aug 24, 2015 Accepting new patients
Davis County Hospital CurrentSince Jan 1, 2023 Accepting new patients
Davis County Hospital Current Accepting new patients
Davis County Hospital Past Accepting new patients

Locations

509 N Madison St
Bloomfield, IA 52537
Phone (641) 664-2145

450 E Sigler Ave
Ste A
Memphis, MO 63555
Phone (660) 465-2828

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/639e10d5-cd9b-4520-ac16-cab58cec3fc7/
  • Direct secure messaging: jchristen@davis.cernerdirect.com

Organizations & group practices 7

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": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1437526258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 N MADISON ST",
            "city": "BLOOMFIELD",
            "state": "IA",
            "postal_code": "525371271",
            "telephone_number": "641-664-3832",
            "fax_number": "641-664-1857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N MADISON ST",
            "city": "BLOOMFIELD",
            "state": "IA",
            "postal_code": "525371271",
            "telephone_number": "641-664-3832",
            "fax_number": "641-664-1857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTEN",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2015027434",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A170893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jchristen@davis.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Davis County Hospital & Clinics Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "509 N Madison St",
            "city": "Bloomfield",
            "state": "IA",
            "country_code": "US",
            "postal_code": "525371271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomfield, IA

Sources for this page

Verify at the official NPI Registry.