Individual provider Active NPI

Jeremy John Vande Zande, M.D.

  • Family Medicine Physician
  • Sioux City, IA
National Provider Identifier
1679589303
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36785 Issued in IA
Practice address
2501 Pierce St
Sioux City, IA 51104-3725
Phone
(712) 294-5000
Fax
(712) 294-5091
NPI assigned
Aug 1, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36785 IA Primary

Addresses

Primary practice location

2501 Pierce St
Sioux City, IA 51104-3725

Mailing address

2501 Pierce St
Sioux City, IA 51104-3725
Phone (712) 294-5000

Other practice location 1

801 5th St
Sioux City, IA 51101-1326
Phone (712) 279-2010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061214000518 IA Practitioner - Emergency MedicinePractitioner - Family Practice 4082613393 Reassigns benefits to 10 organizations
I20240426002991 TX Practitioner - Family Practice 4082613393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winnebago Tribe of NebraskaGroup PAC ID 7113268640, 32 clinicians

Practice addresses (Care Compare)

225 Bluff St
Winnebago, NE 68071-9703
Phone (402) 878-3554

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36785IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stewart Memorial Community Hospital Family Medicine CurrentSince Feb 14, 2020 Accepting new patients
Winnebago Tribe of Nebraska CurrentSince Mar 19, 2024 Accepting new patients
Sioux Valley Memorial Hospital Association Family Medicine Current Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Humboldt County Memorial Hospital Current Accepting new patients
Spencer Municipal Hospital CurrentSince Aug 1, 2021 Accepting new patients
Spencer Municipal Hospital CurrentSince Aug 1, 2021 Accepting new patients
Ida County Iowa Community Hospital Current Accepting new patients
Sioux Valley Memorial Hospital Association CurrentSince Jan 4, 2022 Accepting new patients
Stewart Memorial Community Hospital Family Medicine Current Accepting new patients
Hamilton County Public Hospital CurrentSince Jun 25, 2024 Accepting new patients
Winnebago Tribe of Nebraska CurrentSince Mar 19, 2024 Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Woodbury Emergency Group, PC CurrentSince Jul 1, 2019 Accepting new patients
Hamilton County Public Hospital Family Medicine Current Accepting new patients
Hamilton County Public Hospital Family Medicine CurrentSince Jun 25, 2024 Accepting new patients
Hancock County Health System CurrentSince Aug 26, 2021 Accepting new patients
Stewart Memorial Community Hospital CurrentSince Feb 14, 2020 Accepting new patients
Mercy Medical Services Past Accepting new patients

Locations

532 1st St NW
Britt, IA 50423
Phone (641) 843-4403

300 Sioux Valley Dr
Cherokee, IA 51012
Phone (712) 225-3368

1000 15th St N
Humboldt, IA 50548
Phone (515) 332-4200

701 E 2nd St
Ida Grove, IA 51445
Phone (712) 364-3311

1301 W Main St
Lake City, IA 51449
Phone (712) 464-3171

801 5th St
Sioux City, IA 51101
Phone (712) 279-2010

801 5th St
Ste 410
Sioux City, IA 51101
Phone (712) 239-4702

1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164

225 Bluff St
Winnebago, NE 68071
Phone (402) 745-3950

Interoperability endpoints

  • Direct secure messaging: jvandezande728488@direct.unitypoint.org

Organizations & group practices 22

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.

View all 22

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1679589303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 PIERCE ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043725",
            "telephone_number": "712-294-5000",
            "fax_number": "712-294-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 PIERCE ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043725",
            "telephone_number": "712-294-5000",
            "fax_number": "712-294-5091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 5th St",
            "address_purpose": "LOCATION",
            "city": "Sioux City",
            "state": "IA",
            "postal_code": "511011326",
            "country_code": "US",
            "telephone_number": "712-279-2010",
            "fax_number": "712-279-2034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDE ZANDE",
        "first_name": "JEREMY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "36785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.