Jana Maria Hacker, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A-083903 Issued in IA

Practice address

20 N 29TH St
Fort Dodge, IA 50501-2990

Phone

(515) 227-7491

NPI assigned

Oct 6, 2009

Last updated

Jun 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Active Health ClinicsGroup PAC ID 8729310016, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Active Health Clinics

  • General Practice Physician
  • Fort Dodge, IA
  • NPI 1215582333
  Medicare reassignment Care Compare group NPD
• Joshua J. Mason DC PC

  dba Active Health Chiropractic

  • Chiropractor
  • Fort Dodge, IA
  • NPI 1245548916
  NPD
• Mercy Health Services-Iowa Corp

  dba MercyOne Northwood Pharmacy

  • Community/Retail Pharmacy
  • Northwood, IA
  • NPI 1316909484
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1619202868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 12TH AVE",
            "city": "MANSON",
            "state": "IA",
            "postal_code": "505635088",
            "telephone_number": "515-408-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N 29TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505012990",
            "telephone_number": "515-227-7491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKER",
        "first_name": "JANA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-06",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A-083903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita L Gulbranson
• David E Gunderson
• Kelcie Gunderson, DNP, ARNP, FNP-C
• Kelly Marie Gunderson, PHARMD
• Gypsum Creek Healthcare, Inc. (Fort Dodge Health and Rehabilitation)
• Jordan Paul Hagar, DC
• Eric K Hage, CRNA
• Aubrey R Hagen, CRNA
• Stacy Hale, CADC
• Hamilton County Public Hospital (Van Diest Family Health Clinic of Fort Dodge)

• Family Nurse Practitioner in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.

Verify at the official NPI Registry.