Jennifer Spoerl, ARNP
Individual provider Active NPI Family Nurse Practitioner · Leon, IA
NPI 1679986350 · NPPES record last updated Jun 10, 2014
Key facts
- NPI
- 1679986350
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- A104983 (IA)
- Practice address
- 302 NE 14TH St
Leon, IA 50144-1206 - Phone
- (641) 446-2383
- Fax
- (641) 446-2382
- NPI assigned
- Jun 10, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Infinity Health
Practice addresses (Care Compare)
302 NE 14TH St
Leon, IA 50144-1206
Phone (641) 446-2383
Hospital & facility affiliations
- Lucas County Health Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140701000008 | IA | Practitioner - Nurse Practitioner | 4688899925 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A104983 | IA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinity Health | Current | Accepting new patients | |
| Infinity Health | Current |
Accepting new patients | |
| Infinity Health | Past | Accepting new patients | |
| Eastern Iowa Health Center | Past | Accepting new patients |
Locations
102 N Franklin St
#104
Corydon, IA 50060
Phone (641) 872-1750
1504 N Lincoln St
Knoxville, IA 50138
Phone (641) 446-2383
802 Ackerley St
Lamoni, IA 50140
Phone (515) 784-3371
302 NE 14th St
Leon, IA 50144
Phone (641) 446-2383
Interoperability endpoints
- jspoerl636598@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A104983 | IA | Yes |
Addresses
Primary practice location
302 NE 14TH St
Leon, IA 50144-1206
Mailing address
302 NE 14TH St
Leon, IA 50144-1206
Phone (641) 446-2383
Other providers in Leon, IA
- Michaella Marie Power
- Larry Wayne Richard
- Pamela J Sherman
- Robert Leslie Smith
- South Central Home Health Care Inc
- Jessica Stark
- Tedford Physical Therapy, LLC
- Reece Irl Tedford
- Sara Tedford
- Thompson & Thompson Long Term Care Inc
All providers in Leon, IA · Family Nurse Practitioner in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.