Individual provider Active NPI

Jared Ball, LMSW/ICAADC

  • Social Worker
  • Emmetsburg, IA
National Provider Identifier
1699191387
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
072192 Issued in IA
Practice address
3201 1St St
Emmetsburg, IA 50536-2516
Phone
(712) 852-5555
Fax
(712) 852-5692
NPI assigned
Mar 5, 2014
Last updated
Jul 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 072192 IA Primary

Addresses

Primary practice location

3201 1St St
Emmetsburg, IA 50536-2516

Mailing address

3201 1St St
Emmetsburg, IA 50536-2516
Phone (712) 852-5555

Other practice location 1

115 N 6th St
Estherville, IA 51334
Phone (712) 261-2292

Other practice location 2

109 W Robins St
Graettinger, IA 51342-7732
Phone (712) 859-3131

Other practice location 3

115 N 6th St
Estherville, IA 51334
Phone (712) 261-2292

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address HIM@pamhn.cernerdirect.com Direct

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170329001246 IA Practitioner - Clinical Social Worker 7012292303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palo Alto County HospitalGroup PAC ID 4486563061, 23 clinicians

Practice addresses (Care Compare)

3201 1St St
Emmetsburg, IA 50536-2516
Phone (712) 852-5500

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Palo Alto County Hospital CurrentSince Jul 1, 2018 Accepting new patients
Palo Alto County Hospital Current Accepting new patients
Palo Alto County Hospital CurrentSince Jul 1, 2018 Accepting new patients

Locations

3201 1st St
Emmetsburg, IA 50536
Phone (712) 852-5500

107 W Division St
West Bend, IA 50597
Phone (515) 887-7881

Interoperability endpoints

  • Direct secure messaging: him@pamhn.cernerdirect.com

Organizations & group practices 3

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": "1393977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1699191387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 1ST ST",
            "city": "EMMETSBURG",
            "state": "IA",
            "postal_code": "505362516",
            "telephone_number": "712-852-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 1ST ST",
            "city": "EMMETSBURG",
            "state": "IA",
            "postal_code": "505362516",
            "telephone_number": "712-852-5555",
            "fax_number": "712-852-5692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 N 6th St",
            "address_purpose": "LOCATION",
            "city": "Estherville",
            "state": "IA",
            "postal_code": "51334",
            "country_code": "US",
            "telephone_number": "712-261-2292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 W Robins St",
            "address_purpose": "LOCATION",
            "city": "Graettinger",
            "state": "IA",
            "postal_code": "513427732",
            "country_code": "US",
            "telephone_number": "712-859-3131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 N 6th St",
            "address_purpose": "LOCATION",
            "city": "Estherville",
            "state": "IA",
            "postal_code": "51334",
            "country_code": "US",
            "telephone_number": "712-261-2292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALL",
        "first_name": "JARED",
        "credential": "LMSW/ICAADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-05",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "072192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HIM@pamhn.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Palo Alto County Health System Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3201 1st St",
            "city": "Emmetsburg",
            "state": "IA",
            "country_code": "US",
            "postal_code": "505362516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Emmetsburg, IA

Sources for this page

Verify at the official NPI Registry.