Active NPI
Jessica A Witter, ARNP
- Acute Care Nurse Practitioner
- Davenport, IA
National Provider Identifier
1720265366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- L-094803
- Practice address
- 3319 Spring Street
Davenport, IA 52807-2125 - Phone
- (563) 359-1641
- Fax
- (563) 359-4634
- NPI assigned
- Jan 25, 2008
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | L-094803 | IA | Primary |
Addresses
Primary practice location
3319 Spring Street
Davenport, IA 52807-2125
Mailing address
3319 Spring Street
Davenport, IA 52807-2125
Phone (563) 359-1641
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0450940 | Medicaid | IA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jessica.witter.p1@direct.urologyqc.nextgenshare.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111116000770 | IA | Practitioner - Nurse Practitioner | 1153595756 | Reassigns benefits to 1 organization |
| I20150529000519 | IL | Practitioner - Nurse Practitioner | 1153595756 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Urological Associates PC
Practice addresses (Care Compare)
3319 Spring St
Davenport, IA 52807-2125
Phone (563) 359-1641
600 Valley View Dr
Moline, IL 61265-6118
Phone (563) 359-2997
Hospital & facility affiliations
- Genesis HLTH System Dba Genesis MDL Ctr-Illini
- Genesis Medical Center-Davenport
- Hammond Henry Hospital
- Trinity Muscatine
- Mercyone Genesis Dewitt Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.93 of 100
- Quality
- 76.66
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-094803 | IA | MD | Acute Care Nurse Practitioner |
Organizations & group practices 1
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.
Hospital & facility affiliations 5
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": "1201219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632873600000",
"number": "1720265366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3319 SPRING STREET",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528072125",
"telephone_number": "563-359-1641",
"fax_number": "563-359-4634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3319 SPRING STREET",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528072125",
"telephone_number": "563-359-1641",
"fax_number": "563-359-4634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITTER",
"first_name": "JESSICA",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-25",
"last_updated": "2021-09-29",
"certification_date": "2021-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IA",
"license": "L-094803",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0450940",
"state": "IA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jessica.witter.p1@direct.urologyqc.nextgenshare.com",
"affiliation": "N",
"endpointDescription": "Urological Associates PC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "3319 Spring Street",
"city": "Davenport",
"state": "IA",
"country_code": "US",
"postal_code": "528072125",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.