Individual provider Active NPI

Jennifer Cecil Sassman, ARNP, DNP, FNP-BC

  • Acute Care Nurse Practitioner
  • Coralville, IA
National Provider Identifier
1669916102
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
H156626 Issued in IA
Practice address
105 E 9TH St
Coralville, IA 52241-2209
Phone
(319) 467-2000
Fax
(319) 467-2410
NPI assigned
Dec 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95004708 CA
Family Nurse Practitioner 363LF0000X A155258 IA
Acute Care Nurse Practitioner 363LA2100X H156626 IA Primary

Addresses

Primary practice location

105 E 9TH St
Coralville, IA 52241-2209

Mailing address

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 467-2000

Other practice location 1

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-2210

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
I20191029003346 IA Practitioner - Nurse Practitioner 4385926674 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Corridor Ketamine LLC 8 clinicians

Practice addresses (Care Compare)

1740 Lininger LN
North Liberty, IA 52317-2322
Phone (319) 337-8329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
H156626IAMDAcute Care Nurse Practitioner
95004708CAMDFamily Nurse Practitioner
A155258IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Services Iowa City, Inc. CurrentSince Sep 7, 2021 Accepting new patients
Mercy Services Iowa City, Inc. Current Accepting new patients
Corridor Ketamine LLC Family CurrentSince Jul 9, 2023 Accepting new patients
Mercy Hospital, Iowa City, Iowa Current Accepting new patients
Mercy Services Iowa City, Inc. Current Accepting new patients
Mercy Services Iowa City, Inc. Current Accepting new patients

Locations

1900 James St
Ste 1
Coralville, IA 52241
Phone (319) 337-8329

5107 Utica Ridge Rd
Davenport, IA 52807
Phone (319) 337-8329

269 N 1st Ave
Iowa City, IA 52245
Phone (319) 339-3541

503 3rd St
Kalona, IA 52247
Phone (319) 656-3151

1740 Lininger Ln
North Liberty, IA 52317
Phone (319) 328-8615

510 W Main St
Ste A
Solon, IA 52333
Phone (319) 624-2991

206 Cookson Dr
West Branch, IA 52358
Phone (319) 643-2516

Interoperability endpoints

  • Direct secure messaging: jennifersassman@mic.allscriptsdirect.net
  • Direct secure messaging: jsassman194717@uihcdirect.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1669916102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-467-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E 9TH ST",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412209",
            "telephone_number": "319-467-2000",
            "fax_number": "319-467-2410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "319-356-2210",
            "fax_number": "319-356-2940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SASSMAN",
        "first_name": "JENNIFER",
        "middle_name": "CECIL",
        "credential": "ARNP, DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-16",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004708",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A155258",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IA",
            "license": "H156626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

Verify at the official NPI Registry.