Active NPI
Jessie Kae Grote
- Occupational Therapist
- Pella, IA
National Provider Identifier
1457086738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 2525 Washington St
Pella, IA 50219-1553 - Phone
- (641) 628-6728
- Fax
- (641) 628-6727
- NPI assigned
- Jul 20, 2022
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
2525 Washington St
Pella, IA 50219-1553
Mailing address
405 Monroe St
Pella, IA 50219-1189
Phone (641) 621-2347
Other practice location 1
301 W 2nd St Ste B-1
Ottumwa, IA 52501-2506
Phone (641) 954-8085
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115509 | Other | IA | IOWA PROVIDER LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | prhc@direct.pellahealth.kobledirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 91.84 of 100
- Quality
- 91.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pella Regional Health Center | Current | Accepting new patients |
Locations
301 W 2nd St
Ste B1
Ottumwa, IA 52501
Phone (641) 628-6623
405 Monroe St
Pella, IA 50219
Phone (641) 621-2200
2525 Washington St
Pella, IA 50219
Phone (641) 621-1401
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.
-
- Multi-Specialty Clinic/Center
- Pella, IA
- NPI 1053369405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1457086738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 MONROE ST",
"city": "PELLA",
"state": "IA",
"postal_code": "502191189",
"telephone_number": "641-621-2347",
"fax_number": "641-628-7241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 WASHINGTON ST",
"city": "PELLA",
"state": "IA",
"postal_code": "502191553",
"telephone_number": "641-628-6728",
"fax_number": "641-628-6727"
}
],
"practiceLocations": [
{
"address_1": "301 W 2nd St Ste B-1",
"address_purpose": "LOCATION",
"city": "Ottumwa",
"state": "IA",
"postal_code": "525012506",
"country_code": "US",
"telephone_number": "641-954-8085",
"fax_number": "641-621-2226",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GROTE",
"first_name": "JESSIE",
"middle_name": "KAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-20",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IOWA PROVIDER LICENSE",
"identifier": "115509",
"state": "IA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "prhc@direct.pellahealth.kobledirect.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2525 Washington St",
"city": "Pella",
"state": "IA",
"country_code": "US",
"postal_code": "502191553",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pella, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.