Mindy De Jager

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

A104651 Issued in IA

Practice address

118 N 7TH Ave
Sheldon, IA 51201-1235

Phone

(712) 324-6026

Fax

(712) 324-6025

NPI assigned

Jul 30, 2014

Last updated

Jul 30, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greater Sioux Community Health Center IncGroup PAC ID 3173696572, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mindy.de.jager.1@20239.direct.athenahealth.com
• Direct secure messaging: mindy.dejager@avera.sdhealthlink.net

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.

• Greater Sioux Community Health Center Inc.

  dba Promise Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Sioux Center, IA
  • NPI 1053582098
  Medicare reassignment Care Compare group NPD
• Greater Sioux Community Health Center Inc.

  dba Promise CHC Sioux Center Intermediate School

  • Federally Qualified Health Center (FQHC)
  • Sioux Center, IA
  • NPI 1972398444
  NPD
• Sioux Center Health

  • Critical Access Hospital
  • Sioux Center, IA
  • NPI 1669542981
  NPD

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1841608148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N 7TH AVE",
            "city": "SHELDON",
            "state": "IA",
            "postal_code": "512011235",
            "telephone_number": "712-324-6026",
            "fax_number": "712-324-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N 7TH AVE",
            "city": "SHELDON",
            "state": "IA",
            "postal_code": "512011235",
            "telephone_number": "712-324-6026",
            "fax_number": "712-324-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JAGER",
        "first_name": "MINDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-30",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IA",
            "license": "A104651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl's Footwear
• Choice Chiropractic, LLC
• City of Sheldon
• Wyatt Myron Cook
• Heather Craig
• Donald Wayne Deboer, RPH
• Darienne Ashley Driesen
• Madelyn Driggs, OD
• Josephine Martina Dunn Junius, MD
• Kimberly Kaye Dykstra, PHARMD

• Acute Care Nurse Practitioner in Sheldon, IA
• Providers in Sheldon, IA by specialty
• Acute Care Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; 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.