Individual provider Active NPI

Jennifer M Edeker, MSN, FNP, ARNP

  • Family Nurse Practitioner
  • Denver, IA
National Provider Identifier
1790718302
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A104451 Issued in IA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
05190OtherIAWELLMARK
0481945MedicaidIA

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
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

LicenseStateTypeSpecialty
A104451IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sumner Community Club CurrentSince Jul 23, 2020 Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Dec 15, 2020 Accepting new patients
Sumner Community Club CurrentSince Jul 23, 2020 Accepting new patients
Sumner Community Club Current Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Dec 15, 2020 Accepting new patients
Salahuddin Syed MD PC Current Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Apr 15, 2014 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.