Active NPI
Jessica Ellen Pifkin, ARNP
- Family Nurse Practitioner
- Waterloo, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A-116473
- Practice address
- 2140 Logan Ave Ste B
Waterloo, IA 50703-1002 - Phone
- (319) 226-8470
- NPI assigned
- Oct 26, 2011
- 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 Nurse Practitioner | 363LF0000X | A-116473 | IA | Primary |
Addresses
Primary practice location
2140 Logan Ave Ste B
Waterloo, IA 50703-1002
Mailing address
2140 Logan Ave Ste B
Waterloo, IA 50703-1002
Phone (319) 226-8470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861778502 | Medicaid | IA |
Other names 1
- Jessica Ellen Moye
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1753 W Ridgeway Ave
Suite 102
Waterloo, IA 50701-4544
Phone (319) 833-5888
Hospital & facility affiliations
- Allen Hospital
- Waverly Health Center
- Grundy County Memorial Hospital
- Mercyone Waterloo Medical Center
- Buchanan County Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-116473 | IA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Physicians Clinic Medical Foundation | Current | Accepting new patients | |
| Unitypoint Health - Marshalltown | Current | Accepting new patients | |
| Salahuddin Syed MD PC | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Unitypoint Health - Marshalltown | Current | Accepting new patients | |
| Boone County Hospital | Past | Accepting new patients | |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
55 Unitypoint Way
Marshalltown, IA 50158
Phone (641) 754-5145
8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363
1753 W Ridgeway Ave
Ste 102
Waterloo, IA 50701
Phone (319) 833-5888
152 W Dale St
Waterloo, IA 50703
Phone (319) 235-3540
2140 Logan Ave
Ste B
Waterloo, IA 50703
Phone (319) 226-8470
Interoperability endpoints
- jpifkin473614@direct.unitypoint.org
Organizations & group practices 7
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.
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
-
- Emergency Medicine Physician
- Marshalltown, IA
- NPI 1164957593
-
- Anatomic Pathology & Clinical Pathology Physician
- Marshalltown, IA
- NPI 1083054464
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Rural Health Clinic/Center
- Waverly, IA
- NPI 1124655006
-
- Critical Access Hospital
- Boone, IA
- NPI 1467434225
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waterloo, IA
- NPI 1336231091
-
- General Acute Care Hospital
- Waterloo, IA
- NPI 1700827896
-
- Critical Access Hospital
- Grundy Center, IA
- NPI 1821055989
-
- Critical Access Hospital
- Independence, IA
- NPI 1265595144
-
- Critical Access Hospital
- Waverly, IA
- NPI 1447299953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549497600000",
"number": "1861778508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2140 LOGAN AVE STE B",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507031002",
"telephone_number": "319-226-8470",
"fax_number": "319-226-8475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 LOGAN AVE STE B",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507031002",
"telephone_number": "319-226-8470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIFKIN",
"first_name": "JESSICA",
"middle_name": "ELLEN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-26",
"last_updated": "2019-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A-116473",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1861778502",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "MOYE",
"middle_name": "ELLEN",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.