Individual provider Active NPI

Jami A Maxson, MD

  • Family Medicine Physician
  • Cedar Rapids, IA
National Provider Identifier
1467504506
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30134 Issued in IA
Practice address
2815 Edgewood Road S.W.
Cedar Rapids, IA 52404
Phone
(319) 221-8695
Fax
(319) 369-9916
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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 30134 IA Primary

Addresses

Primary practice location

2815 Edgewood Road S.W.
Cedar Rapids, IA 52404

Mailing address

2815 Edgewood Road S.W.
Cedar Rapids, IA 52404
Phone (319) 221-8695

Other identifiers 2

IdentifierTypeStateIssuer
6103234MedicaidIA
18765OtherIAWELLMARK

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
I20040527001246 IA Practitioner - Family PracticePractitioner - Emergency Medicine 2961483664 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Iowa, RJ & L Carver College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Physician Associates IncGroup PAC ID 1355242496, 103 clinicians

Practice addresses (Care Compare)

1790 Blairs Ferry Rd
Hiawatha, IA 52233-2033
Phone (319) 378-8362

900 Bank CT
Center Point, IA 52213-9477
Phone (319) 465-6034

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30134IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Physician Associates, Inc Family Medicine CurrentSince Apr 3, 2019 Accepting new patients
Mercy Care Management, Inc Family Medicine CurrentSince Apr 3, 2019 Accepting new patients
Mercy Physician Associates Inc Family Medicine CurrentSince Apr 3, 2019 Accepting new patients
Mercy Care Management, Inc Family Medicine CurrentSince Apr 3, 2019 Accepting new patients

Locations

2815 Edgewood Rd SW
Cedar Rapids, IA 52404
Phone (319) 221-8695

5264 Council St NE
Ste 100
Cedar Rapids, IA 52402
Phone (319) 221-8444

1790 Blairs Ferry Rd
Hiawatha, IA 52233
Phone (319) 378-8362

300 W May St
Marengo, IA 52301
Phone (319) 462-8011

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1467504506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 EDGEWOOD ROAD S.W.",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52404",
            "telephone_number": "319-221-8695",
            "fax_number": "319-369-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 EDGEWOOD ROAD S.W.",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52404",
            "telephone_number": "319-221-8695",
            "fax_number": "319-369-9916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXSON",
        "first_name": "JAMI",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "30134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103234",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "18765",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.