Jennifer A Mayer, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A116649 Issued in IA

Practice address

5181 Competition Dr
Bettendorf, IA 52722-8833

Phone

(563) 742-4350

Fax

(563) 742-4355

NPI assigned

Oct 29, 2013

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, 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

Specialty

Nurse Practitioner

Education

Other, 2013

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)

Hospital & facility affiliations

• Trinity Rock Island Hospital, Rock Island, IL, CCN 140280

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GCFFCD
• Direct secure messaging: jmayer855026@direct.unitypoint.org

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.

• Iowa Physicians Clinic Medical Foundation

  dba UnityPoint Clinic

  • General Practice Physician
  • West Des Moines, IA
  • NPI 1366425274

  IL

  Medicare reassignment Care Compare group
• Quad Cities Primary Care, LLC

  • Family Medicine Physician
  • Davenport, IA
  • NPI 1588332977
  NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Advanced Radiology, S.C.

  • Diagnostic Radiology Physician
  • Rock Island, IL
  • NPI 1790773539
  NPD (past)

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

• Trinity Medical Center

  dba Trinity Rock Island

  • General Acute Care Hospital
  • Rock Island, IL
  • NPI 1316047632
  Care Compare affiliation

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1740618735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5185 COMPETITION DR",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527228833",
            "telephone_number": "563-742-4350",
            "fax_number": "563-742-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5181 COMPETITION DR",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527228833",
            "telephone_number": "563-742-4350",
            "fax_number": "563-742-4355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 19th Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Moline",
            "state": "IL",
            "postal_code": "612653700",
            "country_code": "US",
            "telephone_number": "309-779-7050",
            "fax_number": "309-779-7055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3415 53rd Ave",
            "address_purpose": "LOCATION",
            "city": "Bettendorf",
            "state": "IA",
            "postal_code": "527226976",
            "country_code": "US",
            "telephone_number": "563-742-4350",
            "fax_number": "563-742-4355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3904 16th St",
            "address_purpose": "LOCATION",
            "city": "Moline",
            "state": "IL",
            "postal_code": "612651275",
            "country_code": "US",
            "telephone_number": "309-581-7610",
            "fax_number": "309-797-9120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1417 Kimberly Rd",
            "address_purpose": "LOCATION",
            "city": "Bettendorf",
            "state": "IA",
            "postal_code": "527224131",
            "country_code": "US",
            "telephone_number": "563-742-4350",
            "fax_number": "563-742-4355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYER",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-29",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A116649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Patricia Marie McConnell, MSCCCSLP
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• Elisha McCoy, PA-C
• Paul Michael McCoy, PA-C

• Family Nurse Practitioner in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.