Individual provider Active NPI

Jennifer Christine Kearns, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Davenport, IA
National Provider Identifier
1487355368
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209.028823 Issued in IL
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

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240110004217 IL Practitioner - Nurse Practitioner 6608227939 Reassigns benefits to 4 organizations
I20250531000145 IA Practitioner - Nurse Practitioner 6608227939 Reassigns benefits to 1 organization

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
Vitae Health Medical Iowa PLLCGroup PAC ID 7719343565, 5 clinicians
Vitae Health Medical Illinois, PLLCGroup PAC ID 2365798410, 214 clinicians

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

LicenseStateTypeSpecialty
209.028823ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NV Pacs 2 LLC CurrentSince Jan 8, 2024 Accepting new patients
Vitae Health Medical Illinois, PLLC CurrentSince Jan 1, 2025 Accepting new patients
CS Pacs 3 Midwest LLC CurrentSince Sep 27, 2024 Accepting new patients
Illinois Post-Acute Medical Services 1 PC CurrentSince Jan 8, 2024 Accepting new patients
Vitae Health Medical Iowa PLLC CurrentSince Apr 22, 2025 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.

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

Verify at the official NPI Registry.