NPIMap

Individual provider Active NPI

Jason L Gipson, MD

  • Family Medicine Physician
  • Waverly, IA
National Provider Identifier
1740439769
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
50627 Issued in IA
Practice address
312 9TH St SW Ste 1200
Waverly, IA 50677-2998
Phone
(319) 352-4340
NPI assigned
Sep 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 50627 IA Primary

Addresses

Primary practice location

312 9TH St SW Ste 1200
Waverly, IA 50677-2998

Mailing address

312 9TH St SW Ste 1200
Waverly, IA 50677-2998
Phone (319) 352-4340

Other identifiers 3

IdentifierTypeStateIssuer
8EX301OtherTXBCBS
75-2616977-020OtherTXTRICARE
P01439635OtherTXRAIL ROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221216001013 IA Practitioner - Family Practice 6002086642 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Practice addresses (Care Compare)

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

Hospital & facility affiliations

  • Unitypoint at Home Home health agency, Waterloo, IA, CCN 167147
  • Cedar Valley Hospice Hospice, Waterloo, IA, CCN 161504
  • Unitypoint Health - Marshalltown Hospital, Marshalltown, IA, CCN 160001
  • Waverly Health Center Hospital, Waverly, IA, CCN 161339
  • Allen Hospital Hospital, Waterloo, IA, CCN 160110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
50627IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Dec 5, 2022 Accepting new patients
Iowa Physicians Clinic Medical Foundation Family Medicine CurrentSince Feb 15, 2023 Accepting new patients
Salahuddin Syed MD PC Current Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Dec 5, 2022 Accepting new patients
Central Iowa Healthcare Past Accepting new patients
Privia Medical Group West Texas, PLLC Past Accepting new patients
Floyd County Memorial Hospital Commission Family Medicine Past Accepting new patients
Privia Medical Group West Texas, PLLC Past Accepting new patients

Locations

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

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

111 Tower St
Denver, IA 50622
Phone (319) 984-5645

1506 Edgington Ave
Eldora, IA 50627
Phone (641) 939-7777

101 E J Ave
Ste 120
Grundy Center, IA 50638
Phone (319) 824-6945

55 Unitypoint Way
Marshalltown, IA 50158
Phone (641) 754-5145

312 9th St SW
Ste 1200
Waverly, IA 50677
Phone (319) 352-0745

Interoperability endpoints

  • Direct secure messaging: jgipson104984@christushealth.direct-ci.net
  • Direct secure messaging: jgipson923550@direct.unitypoint.org

Organizations & group practices 9

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": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1740439769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 9TH ST SW STE 1200",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772998",
            "telephone_number": "319-352-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 9TH ST SW STE 1200",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772998",
            "telephone_number": "319-352-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIPSON",
        "first_name": "JASON",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-15",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "50627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8EX301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "75-2616977-020",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P01439635",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, IA

Sources for this page

Verify at the official NPI Registry.