Individual provider Active NPI

Jessie Kae Grote

  • Occupational Therapist
  • Pella, IA
National Provider Identifier
1457086738
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
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

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
115509OtherIAIOWA PROVIDER LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
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 Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.84 of 100Reported as group
Quality
91.13
Promoting interoperability
100
Improvement activities
40
Cost
81.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.