Individual provider Active NPI

Jodi Lynne Wilson, ARNP

  • Acute Care Nurse Practitioner
  • Centerville, IA
National Provider Identifier
1861901555
Registry record updated May 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
H131394 Issued in IA
Practice address
1208 E Cross St
Centerville, IA 52544-3501
Phone
(877) 279-5960
Fax
(641) 206-5314
NPI assigned
Sep 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 131394 OH
Acute Care Nurse Practitioner 363LA2100X 4704437749 MI
Acute Care Nurse Practitioner 363LA2100X 71017712A IN
Acute Care Nurse Practitioner 363LA2100X H131394 IA Primary
Acute Care Nurse Practitioner 363LA2100X 15352-33 WI

Addresses

Primary practice location

1208 E Cross St
Centerville, IA 52544-3501

Mailing address

1208 E Cross St
Centerville, IA 52544-3501
Phone (641) 295-3765

Other names 1

  • Jodi Lynne Shaffer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, WI, OH, IN, MI5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20171127000640 IA Practitioner - Nurse Practitioner 3971860180 Reassigns benefits to 2 organizations
I20240620003438 WI Practitioner - Nurse Practitioner 3971860180 Reassigns benefits to 2 organizations
I20260116003278 OH Practitioner - Nurse Practitioner 3971860180 Reassigns benefits to 3 organizations
I20260217000510 IN Practitioner - Nurse Practitioner 3971860180 Reassigns benefits to 2 organizations
I20260521002487 MI Practitioner - Nurse Practitioner 3971860180 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of Wisconsin IncGroup PAC ID 6204208754, 48 clinicians
CH Specialty Services Ia PCGroup PAC ID 2466826102, 130 clinicians
Curana Health of Iowa PLLCGroup PAC ID 9133536113, 152 clinicians

Practice addresses (Care Compare)

1366 E Sumner St
Suite 1002
Hartford, WI 53027-1614
Phone (337) 408-0805

444 N W View Dr
Osceola, IA 50213-8267
Phone (337) 991-9276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71017712AINMDAcute Care Nurse Practitioner
4704437749MIMDAcute Care Nurse Practitioner
131394OHMDAcute Care Nurse Practitioner
15352-33WIMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Iowa PLLC CurrentSince Jun 6, 2022 Accepting new patients
CH Specialty Services Oh LLC CurrentSince Jan 7, 2026 Accepting new patients
Curana Health of Wisconsin Inc CurrentSince May 13, 2024 Accepting new patients
Curana Health of Indiana LLC CurrentSince Feb 6, 2026 Accepting new patients
CH Specialty Services in LLC CurrentSince Feb 6, 2026 Accepting new patients
Preferred Physician Services of Ohio LLC CurrentSince Jan 7, 2026 Accepting new patients
CH Specialty Services Ia PC CurrentSince Apr 19, 2023 Accepting new patients
Curana Health of Ohio CurrentSince Jan 7, 2026 Accepting new patients

Locations

200 16th Ave E
Spc Care
Albia, IA 52531

1208 E Cross St
Centerville, IA 52544
Phone (319) 666-4224

444 N West View Dr
Spc Care
Osceola, IA 50213

444 N West View Dr
Osceola, IA 50213
Phone (641) 342-6061

315 Country Club Rd
Corydon, IN 47112
Phone (502) 895-1611

1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803

5750 Johnston St
Ste 205
Lafayette, LA 70503
Phone (337) 580-3330

3239 Jefferson Ave
Ste 1
Cincinnati, OH 45220
Phone (997) 991-9276

3366 Riverside Dr
Ste 103
Upper Arlington, OH 43221
Phone (617) 958-5697

1366 E Sumner St
Hartford, WI 53027
Phone (337) 408-0805

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779667200000",
    "number": "1861901555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 E CROSS ST",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525443501",
            "telephone_number": "641-295-3765",
            "fax_number": "641-206-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 E CROSS ST",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525443501",
            "telephone_number": "877-279-5960",
            "fax_number": "641-206-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JODI",
        "middle_name": "LYNNE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "131394",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704437749",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IN",
            "license": "71017712A",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IA",
            "license": "H131394",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WI",
            "license": "15352-33",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "SHAFFER",
            "middle_name": "LYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Centerville, IA

Sources for this page

Verify at the official NPI Registry.