Active NPI
Jenna Kemp, M.D.
- Family Medicine Physician
- Waukee, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 37889
- Practice address
- 30 E Hickman Rd
Waukee, IA 50263-5011 - Phone
- (515) 987-3447
- Fax
- (515) 987-6957
- NPI assigned
- Jul 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R8059 | IA | |
| Family Medicine Physician | 207Q00000X | 37889 | IA | Primary |
Addresses
Primary practice location
30 E Hickman Rd
Waukee, IA 50263-5011
Mailing address
30 E Hickman Rd
Waukee, IA 50263-5011
Phone (515) 987-3447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760680235 | Medicaid | IA |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080916000108 | IA | Practitioner - Family Practice | 9830266964 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Iowa Physicians Clinic Medical Foundation
Practice addresses (Care Compare)
2515 Grand Prairie Pkwy
Waukee, IA 50263-8966
Phone (515) 644-9000
30 E Hickman Rd
Family Med Waukee
Waukee, IA 50263-5011
Phone (515) 987-3447
301 E Hillcrest Ave
Family Med Indi
Indianola, IA 50125-9027
Phone (515) 961-3700
40 E Hickman Rd
Pediatrics Waukee
Waukee, IA 50263-5011
Phone (515) 987-6610
4480 Utica Ridge Rd
Bettendorf, IA 52722-1644
4480 Utica Ridge Rd
Suite 160
Bettendorf, IA 52722-1637
Phone (563) 742-5950
50 E Hickman Rd
PT Waukee
Waukee, IA 50263-5011
Phone (515) 216-2999
Hospital & facility affiliations
- Unitypoint at Home
- Unitypoint Health - Des Moines Iowa Methodist Medi
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37889 | IA | MD | Family Medicine Physician |
| R8059 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Family Medicine | Current | Accepting new patients |
Locations
410 NW Ash Dr
Ankeny, IA 50023
Phone (515) 964-1101
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
8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363
30 E Highway 6
Waukee, IA 50263
Phone (515) 987-3447
Interoperability endpoints
- jkemp12751@direct.unitypoint.org
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 and National Provider Directory roles.
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
Family Medicine, IA
-
- Clinical Medical Laboratory
- Cedar Falls, IA
- NPI 1538617840
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- West Des Moines, IA
- NPI 1194753863
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1356433049
Hospital
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1396837951
Hospital
-
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1598905762
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337212800000",
"number": "1760680235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 E HICKMAN RD",
"city": "WAUKEE",
"state": "IA",
"postal_code": "502635011",
"telephone_number": "515-987-3447",
"fax_number": "515-987-6957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 E HICKMAN RD",
"city": "WAUKEE",
"state": "IA",
"postal_code": "502635011",
"telephone_number": "515-987-3447",
"fax_number": "515-987-6957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMP",
"first_name": "JENNA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-06",
"last_updated": "2012-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "R8059",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "37889",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1760680235",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waukee, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.