Individual provider Active NPI

Jacquelene Diane Garden, ARNP

  • Gerontology Nurse Practitioner
  • Oskaloosa, IA
National Provider Identifier
1750925475
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
H091549 Issued in IA
Practice address
2401 Crestview Drive
Oskaloosa, IA 52577
Phone
(641) 673-3000
Fax
(641) 673-5846
NPI assigned
Nov 6, 2019
Last updated
Nov 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X H091549 IA
Gerontology Nurse Practitioner 363LG0600X H091549 IA Primary

Addresses

Primary practice location

2401 Crestview Drive
Oskaloosa, IA 52577

Mailing address

2401 Crestview Drive
Oskaloosa, IA 52577
Phone (641) 673-3000

Other names 1

  • Miss Jacquelene Diane Schippers 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
I20191206002532 IA Practitioner - Nurse Practitioner 1759714660 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CH Specialty Services Ia PCGroup PAC ID 2466826102, 130 clinicians
Curana Health of Iowa PLLCGroup PAC ID 9133536113, 152 clinicians

Practice addresses (Care Compare)

444 N W View Dr
Osceola, IA 50213-8267
Phone (337) 991-9276

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
H091549IAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HCR Manorcare Medical Services of Florida LLC CurrentSince Nov 18, 2019 Accepting new patients
Curana Health of Iowa PLLC CurrentSince Apr 11, 2022 Accepting new patients
CH Specialty Services Ia PC CurrentSince Apr 19, 2023 Accepting new patients

Locations

200 16th Ave E
Spc Care
Albia, IA 52531

815 E Locust St
Davenport, IA 52803
Phone (563) 324-3276

444 N West View Dr
Osceola, IA 50213
Phone (641) 342-6061

444 N West View Dr
Spc Care
Osceola, IA 50213

2401 Crestview Dr
Oskaloosa, IA 52577
Phone (641) 660-4903

5010 Grand Ridge Dr
West Des Moines, IA 50265
Phone (515) 222-5991

L2540
Columbus, OH 43260

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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 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": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1750925475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 CRESTVIEW DRIVE",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "52577",
            "telephone_number": "641-673-3000",
            "fax_number": "641-673-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 CRESTVIEW DRIVE",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "52577",
            "telephone_number": "641-673-3000",
            "fax_number": "641-673-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDEN",
        "first_name": "JACQUELENE",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IA",
            "license": "H091549",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IA",
            "license": "H091549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELENE",
            "last_name": "SCHIPPERS",
            "middle_name": "DIANE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oskaloosa, IA

Sources for this page

Verify at the official NPI Registry.