Jennifer Lynn Stodden, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1124 Issued in IA

Practice address

1614 Diamond Street PL
Onawa, IA 51040-1554

Phone

(712) 423-1525

Fax

(712) 423-2528

NPI assigned

Jun 24, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

University of Iowa, RJ & L Carver College of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Medicine Clinic, P.C.Group PAC ID 0547159824, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Burgess Health Center Hospital, Onawa, IA, CCN 161359

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jenniferstodden@fmcc.allscriptsdirect.net

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.

• Family Medicine Clinic, P.C.

  • Family Medicine Physician
  • Onawa, IA
  • NPI 1386824787
  Medicare reassignment Care Compare group NPD
• Floyd County Memorial Hospital Commission

  • Critical Access Hospital
  • Charles City, IA
  • NPI 1265402390
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Burgess Health Center

  • Critical Access Hospital
  • Onawa, IA
  • NPI 1730253360
  Care Compare affiliation

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191801600000",
    "number": "1730185604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 DIAMOND STREET PL",
            "city": "ONAWA",
            "state": "IA",
            "postal_code": "510401554",
            "telephone_number": "712-423-1525",
            "fax_number": "712-423-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 DIAMOND STREET PL",
            "city": "ONAWA",
            "state": "IA",
            "postal_code": "510401554",
            "telephone_number": "712-423-1525",
            "fax_number": "712-423-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STODDEN",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-24",
        "last_updated": "2007-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "1124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stangel Pharmacy Inc
• Stangel Pharmacy Inc
• Stangel Pharmacy Inc
• Aaron Stangel, PHARMD
• Shayla Stephens, CADC
• Jessica Regi Stuhrenberg, LMFT, CADC
• John D Terry, MD
• Whitney Alyssa Terry, COTA
• Vision Care Clinic PC
• West Monona Community School District

• Physician Assistant in Onawa, IA
• Providers in Onawa, IA by specialty
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2007; 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.

Verify at the official NPI Registry.