Active NPI
Jennifer M Westfall, ARNP
- Family Nurse Practitioner
- Bettendorf, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A132335
- Practice address
- 3740 Utica Ridge Rd
Suite B
Bettendorf, IA 52722-1657 - Phone
- (563) 344-7400
- Fax
- (563) 359-9395
- NPI assigned
- Dec 5, 2014
- Last updated
- Nov 29, 2017
- 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 | 209012267 | IL | |
| Family Nurse Practitioner | 363LF0000X | A132335 | IA | Primary |
Addresses
Primary practice location
3740 Utica Ridge Rd
Suite B
Bettendorf, IA 52722-1657
Mailing address
3740 Utica Ridge Rd
Suite B
Bettendorf, IA 52722-1657
Phone (563) 344-7400
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A132335 | Other | IA | IOWA STATE LICENSE |
| 209012267 | Other | IL | ILLINOIS LICENSE |
| 408010024 | Other | IA | IOWA MEDICARE PTAN |
| F400187712 | Other | IL | ILLINOIS MEDICARE PTAN |
Other names 1
- Jennifer M Long
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, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3740 Utica Ridge Rd
Suite B
Bettendorf, IA 52722-1624
Phone (563) 344-7400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Current | Accepting new patients | |
| Trinity Medical Center | Past | Accepting new patients |
Locations
3740 Utica Ridge Rd
Ste B
Bettendorf, IA 52722
Phone (563) 344-7400
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
Interoperability endpoints
- jwestfall651912@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
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Emergency Medicine Physician
- Rock Island, IL
- NPI 1568414134
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Trinity Bettendorf
- General Acute Care Hospital
- Bettendorf, IA
- NPI 1124110820
-
dba Trinity Rock Island
- General Acute Care Hospital
- Rock Island, IL
- NPI 1316047632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511913600000",
"number": "1609274760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3740 UTICA RIDGE RD",
"address_2": "SUITE B",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527221657",
"telephone_number": "563-344-7400",
"fax_number": "563-359-9395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3740 UTICA RIDGE RD",
"address_2": "SUITE B",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527221657",
"telephone_number": "563-344-7400",
"fax_number": "563-359-9395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTFALL",
"first_name": "JENNIFER",
"middle_name": "M",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-05",
"last_updated": "2017-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209012267",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A132335",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IOWA STATE LICENSE",
"identifier": "A132335",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS LICENSE",
"identifier": "209012267",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IOWA MEDICARE PTAN",
"identifier": "408010024",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS MEDICARE PTAN",
"identifier": "F400187712",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "LONG",
"middle_name": "M",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bettendorf, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.