NPIMap

Individual provider Active NPI

Jennifer Elkin, D.O.

  • Family Medicine Physician
  • Knoxville, IA
National Provider Identifier
1821478439
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO-04923 Issued in IA
Practice address
1208 N Lincoln St
Knoxville, IA 50138
Phone
(641) 828-3832
Fax
(641) 828-3820
NPI assigned
Jun 9, 2015
Last updated
Jan 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R-10287 IA
Family Medicine Physician 207Q00000X DO-04923 IA Primary

Addresses

Primary practice location

1208 N Lincoln St
Knoxville, IA 50138

Mailing address

1208 N Lincoln St
Knoxville, IA 50138-3421
Phone (641) 828-3832

Other names 1

  • Jennifer Davison Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jelkin@madisonhealth.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170410000813 IA Practitioner - Family PracticePractitioner - Emergency Medicine 9638482508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison County Memorial HospitalGroup PAC ID 6002727179, shared by 5 NPIs, 42 clinicians

Practice addresses (Care Compare)

300 W Hutchings St
Winterset, IA 50273-2104
Phone (515) 462-2373

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO-04923IAMDFamily Medicine Physician
R-10287IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Madison County Memorial Hospital CurrentSince Jan 1, 2021 Accepting new patients
Madison County Memorial Hospital CurrentSince Jan 1, 2021 Accepting new patients
Madison County Memorial Hospital Current Accepting new patients
Madison County Memorial Hospital Current Accepting new patients
Madison County Memorial Hospital Past Accepting new patients

Locations

300 W Hutchings St
Winterset, IA 50273
Phone (515) 223-4368

300 W Hutchings St
#100
Winterset, IA 50273
Phone (515) 462-2373

300 W Hutchings St
Ste B
Winterset, IA 50273

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/823d67d6-97c5-40a2-b084-56d06cb82099/
  • FHIR API: https://fhir-usa.unify.chbase.com/org/madico-8e3b1615
  • Direct secure messaging: jelkin@madisonhealth.cernerdirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1821478439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 N LINCOLN ST",
            "city": "KNOXVILLE",
            "state": "IA",
            "postal_code": "501383421",
            "telephone_number": "641-828-3832",
            "fax_number": "641-828-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 N LINCOLN ST",
            "city": "KNOXVILLE",
            "state": "IA",
            "postal_code": "50138",
            "telephone_number": "641-828-3832",
            "fax_number": "641-828-3820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKIN",
        "first_name": "JENNIFER",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R-10287",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "DO-04923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jelkin@madisonhealth.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Madison County Health Care System",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "300 W Hutchings St Ste B",
            "city": "Winterset",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502732155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DAVISON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, IA

Sources for this page

Verify at the official NPI Registry.