Individual provider Active NPI

Jacqueline S Hojati, ARNP

  • Family Nurse Practitioner
  • Urbandale, IA
National Provider Identifier
1689286502
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A160441 Issued in IA
Practice address
2633 86TH St
Urbandale, IA 50322-4309
Phone
(515) 252-2552
Fax
(515) 598-7697
NPI assigned
Aug 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2024

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 A160441 IA Primary

Addresses

Primary practice location

2633 86TH St
Urbandale, IA 50322-4309

Mailing address

2633 86TH St
Urbandale, IA 50322-4309
Phone (515) 252-2552

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
I20211004001380 IA Practitioner - Nurse Practitioner 2668870742 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

Practice addresses (Care Compare)

2633 86TH St
Urbandale, IA 50322-4309
Phone (515) 252-2552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
KDP Management Services PLLC CurrentSince Oct 1, 2021 Accepting new patients
Jacqueline Hojati PLLC Family CurrentSince Feb 4, 2024 Accepting new patients

Locations

4123 University Ave
Des Moines, IA 50311
Phone (515) 303-0661

2633 86th St
Urbandale, IA 50322
Phone (515) 250-0913

475 S 50th St
Ste 600
West Des Moines, IA 50265
Phone (319) 531-6000

Organizations & group practices 2

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": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1689286502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 86TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224309",
            "telephone_number": "515-252-2552",
            "fax_number": "515-598-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 86TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224309",
            "telephone_number": "515-252-2552",
            "fax_number": "515-598-7697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOJATI",
        "first_name": "JACQUELINE",
        "middle_name": "S",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-21",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A160441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

Verify at the official NPI Registry.