Individual provider Active NPI

Tasha Jennings, ARNP

  • Family Nurse Practitioner
  • Sibley, IA
National Provider Identifier
1689074114
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A122149 Issued in IA
Practice address
600 9TH Ave N
Sibley, IA 51249-1012
Phone
(712) 754-3658
Fax
(712) 754-2634
NPI assigned
Sep 3, 2014
Last updated
Nov 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A122149 IA Primary

Addresses

Primary practice location

600 9TH Ave N
Sibley, IA 51249-1012

Mailing address

600 9TH Ave N # 277
Sibley, IA 51249-1012
Phone (712) 754-3658

Other identifiers 1

IdentifierTypeStateIssuer
A122149OtherIAIOWA BOARD OF NURSING

Other names 1

  • Tasha Visser 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
I20141106000329 IA Practitioner - Nurse Practitioner 9436370996 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Osceola Community Hospital IncGroup PAC ID 5799692372, 13 clinicians
Flowstate Health LLCGroup PAC ID 1254718398, 14 clinicians

Practice addresses (Care Compare)

115 Cedar LN
Sibley, IA 51249-1013
Phone (712) 754-2574

500 Locust St
Des Moines, IA 50309-4104
Phone (515) 805-0956

600 9TH Ave N
Sibley, IA 51249-1012
Phone (712) 754-2574

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Apr 19, 2017 Accepting new patients
Flowstate Health LLC CurrentSince Sep 2, 2025 Accepting new patients
Sioux Center Health CurrentSince Mar 1, 2023 Accepting new patients
Sioux Center Health Current Accepting new patients
Avera McKennan Current Accepting new patients
Sioux Center Health CurrentSince Mar 1, 2023 Accepting new patients
Avera McKennan CurrentSince Apr 19, 2017 Accepting new patients
Sioux Center Health Current Accepting new patients
Osceola Community Hospital Inc. CurrentSince Jun 3, 2009 Accepting new patients
Osceola Community Hospital Inc CurrentSince Jun 3, 2009 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

500 Locust St
Des Moines, IA 50309
Phone (515) 523-5550

920 Avenue F
Hawarden, IA 51023
Phone (712) 551-1000

807 Main St
Ste D
Hull, IA 51239
Phone (712) 439-1315

600 9th Ave N
Sibley, IA 51249
Phone (712) 754-2574

600 9th Ave N
#277
Sibley, IA 51249

1101 9th St SE
Sioux Center, IA 51250
Phone (712) 722-1271

116 E 11th St
Ste 101
Spencer, IA 51301
Phone (712) 264-3500

Interoperability endpoints

  • Direct secure messaging: tasha.jennings@avera.sdhealthlink.net

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1689074114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 9TH AVE N # 277",
            "city": "SIBLEY",
            "state": "IA",
            "postal_code": "512491012",
            "telephone_number": "712-754-3658",
            "fax_number": "712-754-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 9TH AVE N",
            "city": "SIBLEY",
            "state": "IA",
            "postal_code": "512491012",
            "telephone_number": "712-754-3658",
            "fax_number": "712-754-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "TASHA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A122149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA BOARD OF NURSING",
            "identifier": "A122149",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TASHA",
            "last_name": "VISSER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sibley, IA

Sources for this page

Verify at the official NPI Registry.