Active NPI
Tess M Judge-Ellis, DND, ARNP
- Family Nurse Practitioner
- North Liberty, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A080324
- Practice address
- 320 West Cherry Street
North Liberty, IA 52317 - Phone
- (319) 626-3300
- Fax
- (319) 626-3084
- NPI assigned
- Oct 13, 2006
- 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 | A080324 | IA | Primary |
Addresses
Primary practice location
320 West Cherry Street
North Liberty, IA 52317
Mailing address
320 West Cherry Street
North Liberty, IA 52317
Phone (319) 626-3300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05625 | Other | IA | WELLMARK BC |
| 0483057 | Medicaid | IA |
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, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1130 S Scott Blvd
Suite 1
Iowa City, IA 52240-2909
Phone (319) 354-2429
320 W Cherry St
Meadowlark Psychiatric Services
North Liberty, IA 52317-8819
Phone (319) 626-3300
50 Newton Rd
University of Iowa College of Nursing
Iowa City, IA 52242-1121
Phone (319) 467-1256
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.02 of 100
- Quality
- 75.68
- Promoting interoperability
- 78
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State University of Iowa | Current | Accepting new patients | |
| State University of Iowa | Family | Current | Accepting new patients |
| Optimae Lifeservices, Inc, | Past | Accepting new patients | |
| Nurse in the House, Inc. | Past | Accepting new patients |
Locations
200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616
407 S White St
Mt Pleasant, IA 52641
Phone (319) 385-6110
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Iowa City, IA
- NPI 1477554814
-
- Clinical Social Worker
- North Liberty, IA
- NPI 1023141330
-
- Physical Therapist
- Iowa City, IA
- NPI 1851462865
-
- Home Health Agency
- Des Moines, IA
- NPI 1598196040
-
- Community/Behavioral Health Agency
- Fairfield, IA
- NPI 1174520084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382572800000",
"number": "1902996382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 WEST CHERRY STREET",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "52317",
"telephone_number": "319-626-3300",
"fax_number": "319-626-3084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 WEST CHERRY STREET",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "52317",
"telephone_number": "319-626-3300",
"fax_number": "319-626-3084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUDGE-ELLIS",
"first_name": "TESS",
"middle_name": "M",
"credential": "DND, ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2013-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A080324",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BC",
"identifier": "05625",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0483057",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Liberty, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.