Jeffrey D Nasstrom, DO
Individual provider Active NPI Family Medicine Physician · Osage, IA
NPI 1710079322 · NPPES record last updated May 20, 2021
Key facts
- NPI
- 1710079322
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 03205 (IA)
- Practice address
- 620 N 8TH St
Osage, IA 50461-1456 - Phone
- (641) 732-6100
- Fax
- (641) 732-6108
- NPI assigned
- Sep 29, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 13
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mitchell County Memorial Hospital
Practice addresses (Care Compare)
620 N 8TH St
Osage, IA 50461-1456
Phone (641) 732-6100
Hospital & facility affiliations
- Mitchell County Home Health Care/ Public Health
- St Croix Hospice
- Howard County Community Hospice
- Mitchell County Regional Health
- Floyd County Medical Center
- Mercyone North Iowa Medical Center
- Regional Health Services of Howard County
- Mayo Clinic Hospital Rochester
- Faith Lutheran Home
- Riceville Family Care and Therapy Center
- Colonial Manor of Elma
- Stacyville Community Nursing Home
- Mitchell County Regional Health
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: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Riceville Family Care & Therapy Center |
Skilled nursing facility | Corporate Director Operational/Managerial Control Adp of the SNF |
Oct 1, 2016 Oct 1, 2006 Oct 1, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100614000533 | IA | Practitioner - Family Practice | 2567592892 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mitchell County Memorial Hospital | Family Medicine | Current |
Accepting new patients |
| Mitchell County Memorial Hospital | Current |
Accepting new patients | |
| Mitchell County Memorial Hospital | Current | Accepting new patients | |
| Floyd County Memorial Hospital Commission | Family Medicine | Past | Accepting new patients |
| Mitchell County Memorial Hospital | Past | Accepting new patients |
Locations
616 N 8th St
Osage, IA 50461
Phone (641) 732-6000
620 N 8th St
Osage, IA 50461
Phone (641) 732-6100
Interoperability endpoints
- jeffrey.nasstrom@direct.2.mycarefile.org
- mi.mhn.him@direct.2.mycarefile.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 03205 | IA | Yes |
Addresses
Primary practice location
620 N 8TH St
Osage, IA 50461-1456
Mailing address
620 N 8TH St
Osage, IA 50461-1456
Phone (641) 732-6100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16520 | Other | IA | WELLMARK |
| 1196485 | Medicaid | IA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jeff.nasstrom@trinityhealthia.medicity.net | Direct | |
| Direct Messaging Address | MI.MHN.HIM@direct.2.mycarefile.org | Direct | |
| Direct Messaging Address | Jeffrey.Nasstrom@direct.2.mycarefile.org | Direct |
Other providers in Osage, IA
- Mitchell County Memorial Hospital
- Mitchell County Memorial Hospital
- Mitchell County Memorial Hospital
- Mitchell County Regional Health Center
- Zachary David Muller
- Scott Darwin Nerland
- Opco Osage, Ia, LLC
- Osage Chiropractic, P.C.
- Osage Community Schools
- Osage Opco LLC
All providers in Osage, IA · Family Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2021. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- 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.