Jennifer Ann Eickstaedt, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

121529 Issued in IA

Practice address

1518 Mulberry Ave
Muscatine, IA 52761-3433

Phone

(563) 264-9508

Fax

(563) 264-0166

NPI assigned

Feb 25, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1447590708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 MULBERRY AVE",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527613433",
            "telephone_number": "563-264-9508",
            "fax_number": "563-264-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 MULBERRY AVE",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527613433",
            "telephone_number": "563-264-9508",
            "fax_number": "563-264-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICKSTAEDT",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-25",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "121529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447590708",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dugan Chiropractic PLLC
• Diana Lynn Dugan, D.C.
• Ceren Durer, MD
• Eastern Iowa Sedation Dentistry LLC
• Bridget Kathleen Ehrmann
• Jordan Brooke Eilers
• Brittney Alison Elgatian, DC
• Leo Levon Elgatian, D.C.
• Toni R Eller, OD
• Angela Elliott, D.O.

• Family Nurse Practitioner in Muscatine, IA
• Providers in Muscatine, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.