Jennifer Ann Matzke, PMHNP

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G181603 Issued in IA

Practice address

4501 47TH St
Des Moines, IA 50310-2984

Phone

(515) 505-4727

NPI assigned

Oct 11, 2024

Sex

Female

Sole proprietor

Yes

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

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

KDP Management Services PLLCGroup PAC ID 2860805009, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• KDP Management Services PLLC

  • Nurse Practitioner
  • West Des Moines, IA
  • NPI 1790300648
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1780404137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 47TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503102984",
            "telephone_number": "515-505-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 47TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503102984",
            "telephone_number": "515-505-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATZKE",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "G181603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher R Matson, DO
• Matta Dental Care PLC
• Mark Richard Matthes, M.D.
• Lawrence W Matthews, DO
• Serena Matuk, LMHC
• Maureen Clare Dion
• Susan Berney Maurer, M.D.
• Dante Mautino, DO
• Claire Ryden Maxey, CNP
• William Z Maxson, MD

• Psychiatry Physician in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Psychiatry Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.