Active NPI
Christine T Jensen, MD
- Family Medicine Physician
- Marshalltown, IA
National Provider Identifier
1720050297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 33080
- Practice address
- 101 Iowa Ave W
Marshalltown, IA 50158 - Phone
- (641) 754-6700
- Fax
- (641) 753-1375
- NPI assigned
- Feb 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 33080 | IA | Primary |
Addresses
Primary practice location
101 Iowa Ave W
Marshalltown, IA 50158
Mailing address
101 Iowa Ave W
Marshalltown, IA 50158-4768
Phone (641) 754-6700
Other practice location 1
519 F Avenue
Nevada Medical Clinic
Nevada, IA 50201
Phone (515) 382-5413
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41013 | Other | IA | WELLMARK BCBS |
| 0634600 | Medicaid | IA | |
| 3177113 | Medicaid | IA | |
| 41001 | Other | IA | WELLMARK BCBS |
| 4177113 | Medicaid | IA | |
| 41014 | Other | IA | WELLMARK BCBS |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140930001595 | IA | Order and Referring Only - Family Practice | 7214073659 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33080 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Story County Hospital | Past | Accepting new patients | |
| Floyd County Memorial Hospital Commission | Family Medicine | Past | Accepting new patients |
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.
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
Family Medicine
-
- Rural Health Clinic/Center
- Zearing, IA
- NPI 1134192750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531785600000",
"number": "1720050297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 IOWA AVE W",
"city": "MARSHALLTOWN",
"state": "IA",
"postal_code": "501584768",
"telephone_number": "641-754-6700",
"fax_number": "647-753-1375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 IOWA AVE W",
"city": "MARSHALLTOWN",
"state": "IA",
"postal_code": "50158",
"telephone_number": "641-754-6700",
"fax_number": "641-753-1375"
}
],
"practiceLocations": [
{
"address_1": "519 F Avenue",
"address_2": "Nevada Medical Clinic",
"address_purpose": "LOCATION",
"city": "Nevada",
"state": "IA",
"postal_code": "50201",
"country_code": "US",
"telephone_number": "515-382-5413",
"fax_number": "515-382-7173",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENSEN",
"first_name": "CHRISTINE",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-07",
"last_updated": "2018-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "33080",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "41013",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0634600",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3177113",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "41001",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4177113",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "41014",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marshalltown, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.