Individual provider Active NPI

Jennifer Meyer, A.R.N.P F.N.P

  • Nurse Practitioner
  • Muscatine, IA
National Provider Identifier
1730150665
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A079584 Issued in IA
Practice address
1518 Mulberry Ave
Muscatine, IA 52761-3433
Phone
(563) 262-4111
Fax
(563) 264-9175
NPI assigned
Jan 30, 2006
Last updated
Oct 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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 A079584 IA Primary

Addresses

Primary practice location

1518 Mulberry Ave
Muscatine, IA 52761-3433

Mailing address

1518 Mulberry Ave
Muscatine, IA 52761-3433
Phone (563) 262-4111

Other identifiers 1

IdentifierTypeStateIssuer
0481135MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 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
I20060224000058 IA Practitioner - Nurse Practitioner 3678589926 Reassigns benefits to 2 organizations
I20150310000549 IL Practitioner - Nurse Practitioner 3678589926

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Iowa, RJ & L Carver College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity HealthcareGroup PAC ID 8224931548, shared by 7 NPIs, 65 clinicians

Practice addresses (Care Compare)

1518 Mulberry Ave
Muscatine, IA 52761-3433

3426 N Port Dr
Muscatine, IA 52761-2242

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A079584IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Oct 17, 2016 Accepting new patients
Unity Healthcare CurrentSince Dec 8, 2019 Accepting new patients
Unity Healthcare Current Accepting new patients
Unity Healthcare Nurse Practitioner CurrentSince Dec 8, 2019 Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Oct 17, 2016 Accepting new patients
Trinity Regional Medical Center Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

1518 Mulberry Ave
Muscatine, IA 52761
Phone (563) 262-4110

1518 Mulberry Ave
Ste 101
Muscatine, IA 52761
Phone (563) 262-4110

1518 Mulberry Ave
Ste 201
Muscatine, IA 52761
Phone (563) 262-4110

1518 Mulberry Ave
Ste 204
Muscatine, IA 52761
Phone (309) 623-7030

3426 N Port Dr
Ste 200
Muscatine, IA 52761
Phone (563) 264-9508

8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363

600 N College Ave
Geneseo, IL 61254
Phone (309) 944-6431

Interoperability endpoints

  • Direct secure messaging: jmeyer425990@direct.unitypoint.org

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1730150665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 MULBERRY AVE",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527613433",
            "telephone_number": "563-262-4111",
            "fax_number": "563-264-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 MULBERRY AVE",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527613433",
            "telephone_number": "563-262-4111",
            "fax_number": "563-264-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "JENNIFER",
        "credential": "A.R.N.P  F.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A079584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0481135",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscatine, IA

Sources for this page

Verify at the official NPI Registry.