Individual provider Active NPI

Jocelyn L. Knop Dumstorff, CRNA

  • Certified Registered Nurse Anesthetist
  • Waukee, IA
National Provider Identifier
1477879484
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
901729 Issued in NE
Practice address
100 Waukee Ave
Waukee, IA 50263-9776
Phone
(515) 480-3359
NPI assigned
Apr 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 901729 NE Primary

Addresses

Primary practice location

100 Waukee Ave
Waukee, IA 50263-9776

Mailing address

100 Waukee Ave
Waukee, IA 50263-9776
Phone (515) 480-3359

Other names 1

  • Jocelyn L Knop Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160226001844 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971636739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Anesthesia and Pain Mngmt LLPGroup PAC ID 1456343763, 13 clinicians

Practice addresses (Care Compare)

6200 Westown Pkwy
Wolfe Eye Clinic
West Des Moines, IA 50266-7705
Phone (515) 222-9880

Merit-based Incentive Payment System (MIPS)

Final score
87.09 of 100Reported as group
Quality
75.46
Promoting interoperability
100
Improvement activities
40
Cost
81.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
901729NEMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Anesthesia & Pain Mngmt LLP CurrentSince Jan 1, 2016 Accepting new patients
Metro Anesthesia & Pain Mngmt LLP Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2016 Accepting new patients
Anesthesia West, P.C. Past Accepting new patients
Anesthesia West, P.C. Nurse Anesthetist, Certified Registered Past Accepting new patients
Diagnostic & Int Med Assoc PC Past Accepting new patients

Locations

1015 Union St
Boone, IA 50036
Phone (515) 432-3140

5901 Westown Pkwy
Ste 210
West Des Moines, IA 50266
Phone (515) 221-9222

6200 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 222-9880

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1477879484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WAUKEE AVE",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502639776",
            "telephone_number": "515-480-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WAUKEE AVE",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502639776",
            "telephone_number": "515-480-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOP DUMSTORFF",
        "first_name": "JOCELYN",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-15",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "901729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOCELYN",
            "last_name": "KNOP",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waukee, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.