Individual provider Active NPI

Jennifer Dawn Vought, ARNP

  • Nurse Practitioner
  • Humboldt, IA
National Provider Identifier
1598284796
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A095351 Issued in IA
Practice address
1524 10TH Ave N
Humboldt, IA 50548-1070
Phone
(515) 890-0156
Fax
(515) 332-8811
NPI assigned
Sep 19, 2017
Last updated
Feb 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 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 G171626 IA
Nurse Practitioner 363L00000X A095351 IA Primary

Addresses

Primary practice location

1524 10TH Ave N
Humboldt, IA 50548-1070

Mailing address

1524 10TH Ave N
Humboldt, IA 50548-1070
Phone (515) 332-8808

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171019001483 IA Practitioner - Nurse Practitioner 1456627405 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1524 10TH Ave N
Midwest Medical
Humboldt, IA 50548-1070
Phone (515) 332-8808

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
G171626IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avera Holy Family Current Accepting new patients
Midwest Medical Family Practice and Mental Health LLC Nurse Practitioner CurrentSince Feb 1, 2021 Accepting new patients

Locations

1524 10th Ave N
Humboldt, IA 50548
Phone (515) 332-8808

Interoperability endpoints

  • Direct secure messaging: jennifer.vought.1@22589.direct.athenahealth.com

Organizations & group practices 2

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.

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": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1598284796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 10TH AVE N",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505481070",
            "telephone_number": "515-332-8808",
            "fax_number": "515-332-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 10TH AVE N",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505481070",
            "telephone_number": "515-890-0156",
            "fax_number": "515-332-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOUGHT",
        "first_name": "JENNIFER",
        "middle_name": "DAWN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G171626",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A095351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humboldt, IA

Sources for this page

Verify at the official NPI Registry.