Jacquelyn Williams, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

00000 Issued in IA

Practice address

1300 37TH St
Suite 1
West Des Moines, IA 50266-1900

Phone

(515) 421-4090

Fax

(515) 421-4090

NPI assigned

Jul 26, 2011

Last updated

Feb 19, 2013By 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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CH Specialty Services Ia PCGroup PAC ID 2466826102, 130 clinicians

Curana Health of Iowa PLLCGroup PAC ID 9133536113, 152 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Clarke County Hospital Hospital, Osceola, IA, CCN 161348

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• CH Specialty Services Ia PC

  • Internal Medicine Physician
  • Osceola, IA
  • NPI 1942909353
  Medicare reassignment Care Compare group NPD
• Curana Health of Iowa PLLC

  • Internal Medicine Physician
  • Osceola, IA
  • NPI 1730773714
  Medicare reassignment Care Compare group NPD
• Cogent Healthcare of Iowa, PC

  • Internal Medicine Physician
  • Cedar Rapids, IA
  • NPI 1982654497

  Nurse Practitioner

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Clarke County Public Hospital

  • Critical Access Hospital
  • Osceola, IA
  • NPI 1114954997
  Care Compare affiliation

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1639457534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 37TH ST",
            "address_2": "SUITE 1",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661900",
            "telephone_number": "515-421-4090",
            "fax_number": "515-421-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 37TH ST",
            "address_2": "SUITE 1",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661900",
            "telephone_number": "515-421-4090",
            "fax_number": "515-421-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JACQUELYN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "00000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Claire Wiemers
• Kathryn Wierda, PH.D.
• Jackie Wilke
• Erin Rebecca Wilkens, O.D.
• Delishia Williams
• Katee Williams
• Kimberly Kay Williams, LMSW
• Kristin Williams, PHARM D
• Madeline Marie Williams, LMSW
• Maya Lynn Williams

• Nurse Practitioner in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.