Individual provider Active NPI

Jamie Ackerman

  • Psychiatric/Mental Health Nurse Practitioner
  • Cedar Falls, IA
National Provider Identifier
1679163281
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G162420 Issued in IA
Practice address
1824 W 8TH St
Cedar Falls, IA 50613-2056
Phone
(319) 277-0992
Fax
(319) 277-5768
NPI assigned
Jan 19, 2021
Last updated
Jul 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G162420 IA Primary
Registered Nurse 163W00000X 125025 IA

Addresses

Primary practice location

1824 W 8TH St
Cedar Falls, IA 50613-2056

Mailing address

1824 W 8TH St
Cedar Falls, IA 50613-2056
Phone (319) 277-0992

Other names 1

  • Jamie Cornwell 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
I20210329000237 IA Practitioner - Nurse Practitioner 8325455959 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1824 W 8TH St
Cedar Falls, IA 50613-2056
Phone (319) 277-0992

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

4480 Utica Ridge Rd
Suite 160
Bettendorf, IA 52722-1637
Phone (563) 742-5950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
125025IAMDPhysical Therapy Assistant
G162420IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Allen Memorial Hospital Corporation CurrentSince May 23, 2022 Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Mar 29, 2021 Accepting new patients
Allen Memorial Hospital Corporation CurrentSince May 23, 2022 Accepting new patients
Trinity Medical Center Past Accepting new patients

Locations

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

1824 W 8th St
Cedar Falls, IA 50613
Phone (319) 277-0990

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

Interoperability endpoints

  • Direct secure messaging: jcornwell109208@direct.unitypoint.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1679163281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 W 8TH ST",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132056",
            "telephone_number": "319-277-0992",
            "fax_number": "319-277-5768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 W 8TH ST",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132056",
            "telephone_number": "319-277-0992",
            "fax_number": "319-277-5768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKERMAN",
        "first_name": "JAMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G162420",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "125025",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "CORNWELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cedar Falls, IA

Sources for this page

Verify at the official NPI Registry.