Individual provider Active NPI

Jennifer Lynn Kane, ARNP

  • Nurse Practitioner
  • Waterloo, IA
National Provider Identifier
1871183715
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A162093 Issued in IA
Practice address
2515 Cyclone Dr Ste B
Waterloo, IA 50701-9746
Phone
(319) 888-8044
NPI assigned
Jan 25, 2021
Last updated
Feb 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A162093 IA
Nurse Practitioner 363L00000X A162093 IA Primary

Addresses

Primary practice location

2515 Cyclone Dr Ste B
Waterloo, IA 50701-9746

Mailing address

PO Box 2758
Waterloo, IA 50704-2758
Phone (319) 235-5390

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennifer.kane@cvms.eclinicaldirectplus.com 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210602003153 IA Practitioner - Nurse Practitioner 4183023617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1600 1St St E
Independence, IA 50644-3155
Phone (319) 334-6071

1753 W Ridgeway Ave
Waterloo, IA 50701-4588

1825 Logan Ave
Waterloo, IA 50703-1916
Phone (319) 235-3941

3315 John F Kennedy Rd
Suite E
Dubuque, IA 52002-1092
Phone (319) 888-8044

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Valley Medical Specialists PC CurrentSince Jun 1, 2021 Accepting new patients
Cedar Valley Medical Specialists PC CurrentSince Jun 1, 2021 Accepting new patients
Cedar Valley Medical Specialists PC Past Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

3315 John F Kennedy Rd
Ste E
Dubuque, IA 52002
Phone (319) 888-8044

1560 Boyson Rd
Ste D
Hiawatha, IA 52233
Phone (319) 888-8044

1600 1st St E
Independence, IA 50644
Phone (319) 332-0999

1753 W Ridgeway Ave
Ste 107
Waterloo, IA 50701
Phone (319) 833-5907

2515 Cyclone Dr
Ste B
Waterloo, IA 50701
Phone (319) 833-5970

4150 Kimball Ave
Waterloo, IA 50701
Phone (319) 235-5390

1253 4th St SW
Waverly, IA 50677
Phone (319) 833-5970

Interoperability endpoints

  • Direct secure messaging: jennifer.kane@cvms.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1871183715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2758",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507042758",
            "telephone_number": "319-235-5390"
        },
        {
            "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": "507019746",
            "telephone_number": "319-888-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A162093",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A162093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.kane@cvms.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "CVMS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "2515 Cyclone Dr Ste B",
            "city": "Waterloo",
            "state": "IA",
            "country_code": "US",
            "postal_code": "507019746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.