Individual provider Active NPI

Paige Michelle Jones, APRN

  • Family Nurse Practitioner
  • Sidney, IA
National Provider Identifier
1710655352
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A164474 Issued in IA
Practice address
313 Main St
Sidney, IA 51652-8036
Phone
(712) 374-2649
NPI assigned
Aug 30, 2021
Last updated
Sep 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 140523 IA
Family Nurse Practitioner 363LF0000X A164474 IA Primary

Addresses

Primary practice location

313 Main St
Sidney, IA 51652-8036

Mailing address

1219 Main St
Hamburg, IA 51640-1300
Phone (712) 382-2626

Other practice location 1

309 S St
Hamburg, IA 51640
Phone (712) 283-0557

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
I20220512002729 IA Practitioner - Nurse Practitioner 8123405149 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarinda Regional Health CenterGroup PAC ID 4587573993, shared by 5 NPIs, 46 clinicians

Practice addresses (Care Compare)

220 Essie Davison Dr
Clarinda, IA 51632-2915
Phone (712) 542-2176

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
67.97 of 100Reported as apm
Quality
34.29
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
140523IAMDRegistered Nurse
A164474IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic LLC Current Accepting new patients
Clarinda Regional Health Center Current Accepting new patients
Clarinda Regional Health Center CurrentSince May 14, 2024 Accepting new patients
Medical Clinic LLC CurrentSince May 1, 2022 Accepting new patients
Medical Clinic LLC CurrentSince May 1, 2022 Accepting new patients

Locations

220 Essie Davison Dr
Clarinda, IA 51632
Phone (712) 542-8330

1219 Main St
Hamburg, IA 51640
Phone (712) 382-2626

309 S 5th Ave
Villisca, IA 50864
Phone (712) 826-3003

Organizations & group practices 5

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": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1710655352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 MAIN ST",
            "city": "HAMBURG",
            "state": "IA",
            "postal_code": "516401300",
            "telephone_number": "712-382-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 MAIN ST",
            "city": "SIDNEY",
            "state": "IA",
            "postal_code": "516528036",
            "telephone_number": "712-374-2649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 S St",
            "address_purpose": "LOCATION",
            "city": "Hamburg",
            "state": "IA",
            "postal_code": "51640",
            "country_code": "US",
            "telephone_number": "712-283-0557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "PAIGE",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "140523",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A164474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidney, IA

Sources for this page

Verify at the official NPI Registry.