Individual provider Active NPI

Jessica Koppen, ARNP

  • Nurse Practitioner
  • Waukee, IA
National Provider Identifier
1720515836
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A115498 Issued in IA
Practice address
25 W Hickman Rd
Waukee, IA 50263
Phone
(515) 643-7000
Fax
(515) 643-7001
NPI assigned
May 19, 2017
Last updated
Dec 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A115498 IA Primary

Addresses

Primary practice location

25 W Hickman Rd
Waukee, IA 50263

Mailing address

PO Box 674721
Dallas, TX 75267-4721
Phone (515) 643-7000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jkoppen3949637@direct.trinity-health.org Direct

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
I20170801002153 IA Practitioner - Nurse Practitioner 7416228085 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinics IncGroup PAC ID 7911810882, 441 clinicians
North Iowa Mercy ClinicsGroup PAC ID 7810809076, 304 clinicians

Practice addresses (Care Compare)

5615 NW 86TH St
200 Mercyone Johnston Pediatrics Care Clini
Johnston, IA 50131-1738
Phone (515) 643-6090

635 E US Hwy 9
Mercyone Forest City Family Medicine
Forest City, IA 50436-1028
Phone (641) 585-2904

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.55 of 100Reported as group
Quality
73.89
Promoting interoperability
93
Improvement activities
40
Cost
70.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A115498IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinics, Inc Nurse Practitioner CurrentSince Jul 13, 2025 Accepting new patients
Mercy Clinics, Inc Current Accepting new patients
Mercy Clinics, Inc. Current Accepting new patients
Mercy Clinics, Inc. CurrentSince Jul 13, 2025 Accepting new patients
North Iowa Mercy Clinics Current Accepting new patients
North Iowa Mercy Clinics Current Accepting new patients
North Iowa Mercy Clinics CurrentSince Jul 3, 2017 Accepting new patients
North Iowa Mercy Clinics Nurse Practitioner Current Accepting new patients
North Iowa Mercy Clinics Current Accepting new patients
North Iowa Mercy Clinics Current Accepting new patients
North Iowa Mercy Clinics CurrentSince Jul 3, 2017 Accepting new patients
Mercy Clinics, Inc. Nurse Practitioner Past Accepting new patients
North Iowa Mercy Clinics Past Accepting new patients

Locations

1120 Greene St
Adel, IA 50003
Phone (515) 993-4656

2605 SW White Birch Dr
Ankeny, IA 50023
Phone (515) 643-7100

800 E 1st St
Ste 1700
Ankeny, IA 50021
Phone (515) 643-8100

115 N Main St
Buffalo Center, IA 50424
Phone (641) 562-2300

1410 6th Ave S
Clear Lake, IA 50428
Phone (641) 357-2191

1601 NW 114th St
Ste 247
Des Moines, IA 50325
Phone (515) 222-7000

1601 NW 114th St
Ste 345
Des Moines, IA 50325
Phone (515) 222-7337

307 E Scenic Valley Ave
Indianola, IA 50125
Phone (515) 961-8448

5615 NW 86th St
Johnston, IA 50131
Phone (515) 223-5466

5615 NW 86th St
Ste 200
Johnston, IA 50131
Phone (515) 643-6090

505 S 1st Ave E
Lake Mills, IA 50450
Phone (641) 592-3900

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

621 S Illinois Ave
Ste 103
Mason City, IA 50401

803 9th Ave N
Northwood, IA 50459
Phone (641) 324-1221

25 W Hickman Rd
Waukee, IA 50263
Phone (515) 358-0150

25 W Hickman Rd
Ste 100
Waukee, IA 50263
Phone (515) 643-7000

Organizations & group practices 13

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.

View all 13

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": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1720515836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674721",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674721",
            "telephone_number": "515-643-7000",
            "fax_number": "515-643-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W HICKMAN RD",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "50263",
            "telephone_number": "515-643-7000",
            "fax_number": "515-643-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPPEN",
        "first_name": "JESSICA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-19",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A115498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkoppen3949637@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "MercyOne Waukee Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "25 W Hickman Rd",
            "city": "Waukee",
            "state": "IA",
            "country_code": "US",
            "postal_code": "50263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waukee, IA

Sources for this page

Verify at the official NPI Registry.