Individual provider Active NPI

Jennifer Lynn Leonard, ARNP

  • Nurse Practitioner
  • Atlantic, IA
National Provider Identifier
1720199276
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A120565 Issued in IA
Practice address
600 Maple St
Atlantic, IA 50022-1553
Phone
(160) 526-1450
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A120565 IA Primary
Nurse Practitioner 363L00000X 115179 NE
Nurse Practitioner 363L00000X 454 SD

Addresses

Primary practice location

600 Maple St
Atlantic, IA 50022-1553

Mailing address

600 Maple St
Atlantic, IA 50022-1553
Phone (712) 249-4910

Other identifiers 4

IdentifierTypeStateIssuer
6829764MedicaidSD
6829762MedicaidSD
6829763MedicaidSD
6829760MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081223000044 IA Practitioner - Nurse Practitioner 0941396139 Reassigns benefits to 1 organization
I20240213003770 NE Practitioner - Nurse Practitioner 0941396139 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
454SDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Urgent Care/Family Care of Nebraska LLC CurrentSince May 1, 2024 Accepting new patients
Family Connections, Inc CurrentSince Jun 1, 2023 Accepting new patients
The Iowa Clinic PC CurrentSince Apr 1, 2018 Accepting new patients
VWB LLC CurrentSince May 1, 2024 Accepting new patients
The Iowa Clinic, PC CurrentSince Apr 1, 2018 Accepting new patients
Weight Loss & Wellness LLC CurrentSince Nov 24, 2024 Accepting new patients
North Iowa Mercy Clinics Past Accepting new patients
Muc-Papillion LLC PastSince Jan 8, 2024 Accepting new patients

Locations

1501 E 10th St
Atlantic, IA 50022
Phone (712) 243-2850

603 Rosary Dr
Corning, IA 50841
Phone (641) 322-3121

1720 N 16th St
Ste K
Council Bluffs, IA 51501
Phone (712) 256-4420

609 SE Kent St
Greenfield, IA 50849
Phone (641) 743-2123

710 N 12th St
Guthrie Ctr, IA 50115
Phone (641) 332-2201

1000 4th St SW
Mason City, IA 50401
Phone (641) 424-6704

1005 Pennsylvania Ave
Ste 102A
Ottumwa, IA 52501
Phone (641) 684-2589

5950 University Ave
Ste 105
West Des Moines, IA 50266
Phone (515) 875-9070

7147 Vista Dr
Ste 150
West Des Moines, IA 50266
Phone (515) 875-9255

4004 N 132nd St
Ste 101
Omaha, NE 68164
Phone (402) 302-2273

Interoperability endpoints

  • Direct secure messaging: jennifer.leonard.1@30520.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1720199276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MAPLE ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221553",
            "telephone_number": "712-249-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MAPLE ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221553",
            "telephone_number": "160-526-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A120565",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "115179",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "454",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6829764",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6829762",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6829763",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6829760",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic, IA

Sources for this page

Verify at the official NPI Registry.