Active NPI
Jennifer Christine Kearns, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Davenport, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 209.028823
- Practice address
- One River Place
1225 E River Dr Ste 234
Davenport, IA 52803 - Phone
- (563) 232-9483
- NPI assigned
- Mar 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | G173264 | IA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209.028823 | IL | Primary |
Addresses
Primary practice location
One River Place
1225 E River Dr Ste 234
Davenport, IA 52803
Mailing address
319 Main St
Hillsdale, IL 61257-9658
Phone (517) 526-0421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3800 Commerce Blvd
Davenport, IA 52807-3495
Phone (563) 344-2000
7300 34TH Ave
Moline, IL 61265-5842
Phone (309) 792-5940
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.028823 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NV Pacs 2 LLC | Current | Accepting new patients | |
| Vitae Health Medical Illinois, PLLC | Current | Accepting new patients | |
| CS Pacs 3 Midwest LLC | Current | Accepting new patients | |
| Illinois Post-Acute Medical Services 1 PC | Current | Accepting new patients | |
| Vitae Health Medical Iowa PLLC | Current | Accepting new patients |
Locations
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
3800 Commerce Blvd
Davenport, IA 52807
Phone (563) 332-7463
1015 Wesley Dr
Maquoketa, IA 52060
Phone (563) 652-4967
5010 Grand Ridge Dr
West Des Moines, IA 50265
Phone (515) 222-5991
415 W Golf Rd
Ste 26
Arlington Hts, IL 60005
303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347
2829 S California Ave
Chicago, IL 60608
Phone (646) 431-0013
600 W Ogden Ave
Hinsdale, IL 60521
Phone (630) 325-9630
1055 E Grand Ave
Lindenhurst, IL 60046
Phone (847) 356-4559
1666 Checker Rd
Long Grove, IL 60047
Phone (847) 419-1111
7300 34th Ave
Moline, IL 61265
Phone (309) 792-5940
6930 W Touhy Ave
Niles, IL 60714
Phone (847) 588-5311
3450 Oakton St
Ste 300
Skokie, IL 60076
612 W Saint Marys Rd
Sterling, IL 61081
Phone (815) 626-9020
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.
-
- Internal Medicine Physician
- West Des Moines, IA
- NPI 1811603012
-
- Internal Medicine Physician
- Skokie, IL
- NPI 1174013452
-
- Hospitalist Physician
- Hinsdale, IL
- NPI 1952830853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703721600000",
"number": "1487355368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 MAIN ST",
"city": "HILLSDALE",
"state": "IL",
"postal_code": "612579658",
"telephone_number": "517-526-0421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE RIVER PLACE",
"address_2": "1225 E RIVER DR STE 234",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "52803",
"telephone_number": "563-232-9483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEARNS",
"first_name": "JENNIFER",
"middle_name": "CHRISTINE",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-16",
"last_updated": "2023-12-28",
"certification_date": "2023-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IA",
"license": "G173264",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "209.028823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.
- 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.