Active NPI
Jennifer M Edeker, MSN, FNP, ARNP
- Family Nurse Practitioner
- Denver, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A104451
- Practice address
- 160 E Main Street
Denver, IA 50622 - Phone
- (319) 984-5645
- Fax
- (319) 984-5364
- NPI assigned
- Jul 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A104451 | IA | Primary |
Addresses
Primary practice location
160 E Main Street
Denver, IA 50622
Mailing address
PO Box 1455
Des Moines, IA 50305-1455
Phone (515) 471-9373
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05190 | Other | IA | WELLMARK |
| 0481945 | 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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060123000416 | IA | Practitioner - Nurse Practitioner | 7911921507 | Reassigns benefits to 5 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A104451 | IA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sumner Community Club | Current | Accepting new patients | |
| Unitypoint Health - Marshalltown | Current | Accepting new patients | |
| Sumner Community Club | Current | Accepting new patients | |
| Sumner Community Club | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Unitypoint Health - Marshalltown | Current | Accepting new patients | |
| Salahuddin Syed MD PC | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Current | Accepting new patients | |
| Delaware County Memorial Hospital | Past | Accepting new patients | |
| Allen Memorial Hospital Corporation | Past | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
111 Tower St
Denver, IA 50622
Phone (319) 984-5645
101 E J Ave
Ste 120
Grundy Center, IA 50638
Phone (319) 824-6945
55 Unitypoint Way
Marshalltown, IA 50158
Phone (641) 754-5145
909 W 1st St
Sumner, IA 50674
Phone (563) 578-3275
312 9th St SW
Ste 1200
Waverly, IA 50677
Phone (319) 352-0745
Interoperability endpoints
- jedeker108260@direct.unitypoint.org
Organizations & group practices 10
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
IA
-
- Anatomic Pathology & Clinical Pathology Physician
- Marshalltown, IA
- NPI 1083054464
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Rural Health Clinic/Center
- Waverly, IA
- NPI 1124655006
-
- Women's Health Nurse Practitioner
- Waterloo, IA
- NPI 1891772927
-
- Rural Health Clinic/Center
- Winthrop, IA
- NPI 1154474609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790718302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1455",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503051455",
"telephone_number": "515-471-9373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 E MAIN STREET",
"city": "DENVER",
"state": "IA",
"postal_code": "50622",
"telephone_number": "319-984-5645",
"fax_number": "319-984-5364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDEKER",
"first_name": "JENNIFER",
"middle_name": "M",
"credential": "MSN, FNP, ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A104451",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "05190",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0481945",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.