Active NPI
Jessica Kennedy, DO
- Family Medicine Physician
- Waukee, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4401
- Practice address
- 1025 SE Tallgrass LN Ste 250
Waukee, IA 50263-6818 - Phone
- (515) 875-8300
- Fax
- (515) 875-9202
- NPI assigned
- Jul 11, 2011
- Last updated
- Jul 7, 2026
- 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 Medicine Physician | 207Q00000X | 4401 | IA | Primary |
Addresses
Primary practice location
1025 SE Tallgrass LN Ste 250
Waukee, IA 50263-6818
Mailing address
PO Box 424
Des Moines, IA 50302-0424
Phone (515) 875-9255
Other practice location 1
609 SE Kent St
Greenfield, IA 50849-9454
Phone (641) 743-6189
Other practice location 2
609 SE Kent St
Greenfield, IA 50849-9454
Phone (641) 743-6189
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jessicakennedy@tic.allscriptsdirect.net | Direct |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1025 SE Tallgrass LN
Suite 250
Waukee, IA 50263-6818
Phone (515) 875-8300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Iowa Clinic PC | Family Medicine | Current | Accepting new patients |
| Adair County Memorial Hospital | Current | Accepting new patients | |
| The Iowa Clinic, PC | Current | Accepting new patients | |
| Doctorsnow Walk-in Care, L.C. | Family Medicine | Past | Accepting new patients |
Locations
609 SE Kent St
Greenfield, IA 50849
Phone (641) 743-2123
1005 Pennsylvania Ave
Ste 102A
Ottumwa, IA 52501
Phone (641) 684-2589
4323 NW Urbandale Dr
Urbandale, IA 50322
Phone (515) 875-9190
1025 SE Tallgrass Ln
Ste 250
Waukee, IA 50263
Phone (515) 875-8300
7147 Vista Dr
Ste 150
West Des Moines, IA 50266
Phone (515) 875-9255
Interoperability endpoints
- jessicakennedy@adaircountyhealth.cernerdirect.com
- jessicakennedy@tic.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Critical Access Hospital
- Greenfield, IA
- NPI 1780667519
-
- Durable Medical Equipment & Medical Supplies
- West Des Moines, IA
- NPI 1871451328
-
- Family Medicine Physician
- Altoona, IA
- NPI 1649394503
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Greenfield, IA
- NPI 1780667519
-
dba MercyOne West Des Moines Medical Center
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1538395975
-
dba MercyOne Des Moines Laboratory
- Clinical Medical Laboratory
- Des Moines, IA
- NPI 1104982743
Hospital
-
dba MercyOne Des Moines Medical Center
- General Acute Care Hospital
- Des Moines, IA
- NPI 1508964883
-
dba Mercy Medical Mammography Center
- Mammography Clinic/Center
- Des Moines, IA
- NPI 1477984367
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1851689905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 424",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503020424",
"telephone_number": "515-875-9255",
"fax_number": "515-875-9223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 SE TALLGRASS LN STE 250",
"city": "WAUKEE",
"state": "IA",
"postal_code": "502636818",
"telephone_number": "515-875-8300",
"fax_number": "515-875-9202"
}
],
"practiceLocations": [
{
"address_1": "609 SE Kent St",
"address_purpose": "LOCATION",
"city": "Greenfield",
"state": "IA",
"postal_code": "508499454",
"country_code": "US",
"telephone_number": "641-743-6189",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "609 SE Kent St",
"address_purpose": "LOCATION",
"city": "Greenfield",
"state": "IA",
"postal_code": "508499454",
"country_code": "US",
"telephone_number": "641-743-6189",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENNEDY",
"first_name": "JESSICA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-11",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "4401",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jessicakennedy@tic.allscriptsdirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4323 NW Urbandale Dr",
"city": "Urbandale",
"state": "IA",
"country_code": "US",
"postal_code": "50322",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Waukee, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.