Active NPI
Jessica Marie Vonsak, FNP
- Nurse Practitioner
- Fort Dodge, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NA
- Practice address
- 800 Kenyon Rd Ste T
Fort Dodge, IA 50501-5776 - Phone
- (515) 574-6845
- Fax
- (515) 576-4070
- NPI assigned
- Dec 21, 2022
- Last updated
- Jul 30, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A172890 | IA | |
| Nurse Practitioner | 363L00000X | NA | IA | Primary |
Addresses
Primary practice location
800 Kenyon Rd Ste T
Fort Dodge, IA 50501-5776
Mailing address
800 Kenyon Rd Ste T
Fort Dodge, IA 50501-5776
Phone (515) 574-6845
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 Kenyon Rd
Fort Dodge, IA 50501-5776
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A172890 | IA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Regional Medical Center | Current | Accepting new patients | |
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Current | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
1428 2nd Ave N
Fort Dodge, IA 50501
Phone (515) 573-1145
800 Kenyon Rd
Ste S
Fort Dodge, IA 50501
Phone (515) 573-4141
800 Kenyon Rd
Ste T
Fort Dodge, IA 50501
Phone (515) 574-6845
802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565
1776 Westlakes Pkwy
Ste 400
West Des Moines, IA 50266
Phone (515) 241-6161
6010 Mills Civic Pkwy
West Des Moines, IA 50266
Phone (515) 221-7800
6010 Mills Civic Pkwy
Ste 100
West Des Moines, IA 50266
Phone (515) 221-7800
Interoperability endpoints
- jvonsak3664@direct.unitypoint.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UnityPoint Clinic
- Emergency Medicine Physician
- Fort Dodge, IA
- NPI 1073594156
-
dba UnityPoint Clinic
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Storm Lake, IA
- NPI 1134191653
-
- Critical Access Hospital
- Humboldt, IA
- NPI 1194702977
-
- Critical Access Hospital
- Sac City, IA
- NPI 1144378621
-
- Critical Access Hospital
- Pocahontas, IA
- NPI 1346241213
-
dba UnityPoint Health Trinity Regional Medical Center
- General Acute Care Hospital
- Fort Dodge, IA
- NPI 1487759858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1578275509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 KENYON RD STE T",
"city": "FORT DODGE",
"state": "IA",
"postal_code": "505015776",
"telephone_number": "515-574-6845",
"fax_number": "515-576-4070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 KENYON RD STE T",
"city": "FORT DODGE",
"state": "IA",
"postal_code": "505015776",
"telephone_number": "515-574-6845",
"fax_number": "515-576-4070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VONSAK",
"first_name": "JESSICA",
"middle_name": "MARIE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-21",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A172890",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "NA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Dodge, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.