Individual provider Active NPI

Jody M Hostert, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hiawatha, IA
National Provider Identifier
1730149121
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G097506 Issued in IA
Practice address
1510 Boyson Rd
Abbe Management Corp D/B/a Associates for Behavioral He
Hiawatha, IA 52233-2310
Phone
(319) 396-1066
Fax
(319) 396-8779
NPI assigned
Mar 28, 2006
Last updated
Jan 19, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G097506 IA Primary

Addresses

Primary practice location

1510 Boyson Rd
Abbe Management Corp D/B/a Associates for Behavioral He
Hiawatha, IA 52233-2310

Mailing address

1510 Boyson Rd
Hiawatha, IA 52233-2310
Phone (319) 396-1066

Other identifiers 1

IdentifierTypeStateIssuer
0443945MedicaidIA

Other names 1

  • Mrs. Jody M Kolb Former name

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
I20041020000247 IA Practitioner - Nurse Practitioner 6406817840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Iowa, RJ & L Carver College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1519 Ctr Point Rd NE
Cedar Rapids, IA 52402-6507
Phone (319) 365-9939

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Iowa Psychiatric Services PC Psychiatric/Mental Health CurrentSince Mar 25, 2024 Accepting new patients
St Luke's Methodist Hospital PastSince Mar 25, 2024 Accepting new patients

Locations

1519 Center Point Rd NE
Cedar Rapids, IA 52402
Phone (319) 241-1678

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1730149121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 BOYSON RD",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332310",
            "telephone_number": "319-396-1066",
            "fax_number": "319-396-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 BOYSON RD",
            "address_2": "ABBE MANAGEMENT CORP D/B/A ASSOCIATES FOR BEHAVIORAL HE",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332310",
            "telephone_number": "319-396-1066",
            "fax_number": "319-396-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSTERT",
        "first_name": "JODY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G097506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0443945",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODY",
            "last_name": "KOLB",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hiawatha, IA

Sources for this page

Verify at the official NPI Registry.