Individual provider Active NPI

Jennifer M Westfall, ARNP

  • Family Nurse Practitioner
  • Bettendorf, IA
National Provider Identifier
1609274760
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A132335 Issued in IA
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, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
A132335OtherIAIOWA STATE LICENSE
209012267OtherILILLINOIS LICENSE
408010024OtherIAIOWA MEDICARE PTAN
F400187712OtherILILLINOIS MEDICARE PTAN

Other names 1

  • Jennifer M Long Former name

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
I20150303001430 IA Practitioner - Nurse Practitioner 6204150220 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Dec 1, 2018 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.