Jessica Price, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

UNKNOWN Issued in OK

Practice address

701 10TH St SE
Cedar Rapids, IA 52403-1251

Phone

(405) 635-6895

NPI assigned

May 25, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Costanzo Former name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

HospitalistAlso: Family Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cogent Healthcare of Iowa PCGroup PAC ID 3779517941, 60 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Medical Center - Cedar Rapids Hospital, Cedar Rapids, IA, CCN 160079
• Mercy Medical Center - Cedar Rapids Inpatient rehabilitation facility, Cedar Rapids, IA, CCN 16T079

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Cogent Healthcare of Iowa, PC

  • Internal Medicine Physician
  • Cedar Rapids, IA
  • NPI 1982654497
  Medicare reassignment Care Compare group
• Sound Physicians of Iowa, PLLC

  • Internal Medicine Physician
  • Mason City, IA
  • NPI 1912398249

  Family Medicine

  NPD
• Mercy Medical Center

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1720029333
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Medical Center

  dba Mercy Inpatient Rehabilitation

  • Rehabilitation Hospital Unit
  • Cedar Rapids, IA
  • NPI 1467639062

  Inpatient rehabilitation facility

  Care Compare affiliation
• Mercy Medical Center

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1720029333
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1710247507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 RALEIGH LN",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523028802",
            "telephone_number": "405-635-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 10TH ST SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524031251",
            "telephone_number": "405-635-6895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "JESSICA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-25",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "UNKNOWN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "COSTANZO",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kyle Anthony Preuninger, ARNP
• Carissa Lynne Prevenas, BCBA
• Rachel Ann Preves
• Kimberly Renee Prevo, OTR
• Deborah Ann Price
• Judith Price, LISW
• Nile Price, DPT
• Rebecca Price
• Taylor Price, LMHC
• Heather Pries, DDS

• Family Medicine Physician in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.