Individual provider Active NPI

Nancy Jo Jesenovec-Stumma, D.C.

  • Chiropractor
  • Monticello, IA
National Provider Identifier
1801144175
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007474 Issued in IA
Practice address
818 W 1St St
Suite 101
Monticello, IA 52310-1310
Phone
(319) 465-4663
NPI assigned
Aug 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007474 IA Primary

Addresses

Primary practice location

818 W 1St St
Suite 101
Monticello, IA 52310-1310

Mailing address

818 W 1St St
Suite 101
Monticello, IA 52310-1310
Phone (319) 465-4663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130109000726 IA Practitioner - Chiropractic 7719130392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

218 W 1St St
Suite C
Monticello, IA 52310-1405
Phone (319) 465-4663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Back Home Chiropractic, LLC Chiropractor CurrentSince Aug 1, 2012 Accepting new patients

Locations

818 W 1st St
Ste 101
Monticello, IA 52310
Phone (319) 465-4663

218 W 1st St
Ste C
Monticello, IA 52310
Phone (319) 465-4663

Organizations & group practices 1

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": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1801144175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 W 1ST ST",
            "address_2": "SUITE 101",
            "city": "MONTICELLO",
            "state": "IA",
            "postal_code": "523101310",
            "telephone_number": "319-465-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 W 1ST ST",
            "address_2": "SUITE 101",
            "city": "MONTICELLO",
            "state": "IA",
            "postal_code": "523101310",
            "telephone_number": "319-465-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESENOVEC-STUMMA",
        "first_name": "NANCY",
        "middle_name": "JO",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.