Jenna Niccolls

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

105061 Issued in IA

Practice address

2515 Cyclone Dr Ste B
Waterloo, IA 50701-9715

Phone

(319) 888-8044

Fax

(319) 349-8402

NPI assigned

Mar 24, 2020

Last updated

Sep 11, 2025By 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

Physician Assistant

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cedar Valley Medical Specialists PCGroup PAC ID 1759291487, 61 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercyone Waterloo Medical Center Hospital, Waterloo, IA, CCN 160067

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jenna.niccolls@cvms.eclinicaldirectplus.com
• Direct secure messaging: jniccolls3934925@direct.trinity-health.org

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.

• Cedar Valley Medical Specialists PC

  • Orthopaedic Surgery Physician
  • Waterloo, IA
  • NPI 1497794242
  Medicare reassignment Care Compare group
• Cedar Valley Medical Specialists PC

  • Durable Medical Equipment & Medical Supplies
  • Vinton, IA
  • NPI 1659934180
  NPD
• Cedar Valley Medical Specialists PC

  dba Advanced Diagnostic Imaging

  • Radiology Clinic/Center
  • Waterloo, IA
  • NPI 1841245586
  NPD
• Covenant Medical Center Inc

  dba MercyOne Medical Group Northeast Iowa

  • Family Medicine Physician
  • Waterloo, IA
  • NPI 1548288160

  Physician Assistant

  NPD
• Covenant Medical Center, Inc.

  dba MercyOne Evansdale home medical equipment

  • Customized Equipment (DME)
  • Evansdale, IA
  • NPI 1851141980
  NPD
• Cedar Valley Medical Specialists PC

  • Durable Medical Equipment & Medical Supplies
  • Waverly, IA
  • NPI 1073567780
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Covenant Medical Center Inc

  dba MercyOne Waterloo Medical Center

  • General Acute Care Hospital
  • Waterloo, IA
  • NPI 1700827896
  Care Compare affiliation

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1871120469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 CYCLONE DR STE B",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507019715",
            "telephone_number": "319-888-8044",
            "fax_number": "319-349-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 CYCLONE DR STE B",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507019715",
            "telephone_number": "319-888-8044",
            "fax_number": "319-349-8402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 College St Ste 2800",
            "address_purpose": "LOCATION",
            "city": "Cedar Falls",
            "state": "IA",
            "postal_code": "506132500",
            "country_code": "US",
            "telephone_number": "319-268-3990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICCOLLS",
        "first_name": "JENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "105061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Directions Counseling Services, PLLC.
• New Gi PC
• New Start Behavioral Services
• New Vistas Counseling Services, LLC
• Mark Richard Newton, M.D.
• Robert Edward Nichols, PHARMD, BCPS
• Kate Nichelle Nicholson, CRNA
• Kent A Nickell, M.D.
• Lindsay Ann Nie, ARNP
• Kelley Nieman

• Physician Assistant in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.