Individual provider Active NPI

Jessica Kennedy, DO

  • Family Medicine Physician
  • Waukee, IA
National Provider Identifier
1851689905
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4401 Issued in IA
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130402000236 IA Practitioner - Family Practice 7810142122 Reassigns benefits to 1 organization

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
The Iowa Clinic PCGroup PAC ID 4082513742, 307 clinicians

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

OrganizationSpecialtyStatusNew patients
The Iowa Clinic PC Family Medicine CurrentSince Oct 31, 2019 Accepting new patients
Adair County Memorial Hospital Current Accepting new patients
The Iowa Clinic, PC CurrentSince Oct 31, 2019 Accepting new patients
Doctorsnow Walk-in Care, L.C. Family Medicine PastSince Nov 1, 2015 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

  • Direct secure messaging: jessicakennedy@adaircountyhealth.cernerdirect.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.