Active NPI
Valerie J Jass, ANP -BOARD CERTIFIED
- Adult Health Nurse Practitioner
- Mason City, IA
National Provider Identifier
1922053867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 143568
- Practice address
- 1000 4TH St SW
Mason City, IA 50401-2800 - Phone
- (641) 428-7951
- Fax
- (641) 428-7269
- NPI assigned
- May 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 143568 | IA | Primary |
| Nurse Practitioner | 363L00000X | R69095 | SC |
Addresses
Primary practice location
1000 4TH St SW
Mason City, IA 50401-2800
Mailing address
621 S Illinois Ave Ste 103
Mason City, IA 50401-5489
Phone (641) 428-3041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP0864 | Medicaid | SC |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | north.iowa.mercy.clinic.palliative.care@trinityhealthia.medicity.net | Direct | |
| Direct Messaging Address | north.iowa.mercy.clinic.palliative.care@trinityhealthia.medicity.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R69095 | SC | MD | Nurse Practitioner |
| 143568 | IA | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1922053867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 S ILLINOIS AVE STE 103",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504015489",
"telephone_number": "641-428-3041",
"fax_number": "641-428-3059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 4TH ST SW",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504012800",
"telephone_number": "641-428-7951",
"fax_number": "641-428-7269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASS",
"first_name": "VALERIE",
"middle_name": "J",
"credential": "ANP -BOARD CERTIFIED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-22",
"last_updated": "2023-11-27",
"certification_date": "2020-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IA",
"license": "143568",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "R69095",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP0864",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "north.iowa.mercy.clinic.palliative.care@trinityhealthia.medicity.net",
"affiliation": "N",
"endpointDescription": "MercyOne North Iowa Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "1000 4th St SW",
"city": "Mason City",
"state": "IA",
"country_code": "US",
"postal_code": "504012800",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "north.iowa.mercy.clinic.palliative.care@trinityhealthia.medicity.net",
"affiliation": "Y",
"endpointDescription": "MercyOne Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "1000 4th St SW",
"city": "Mason City",
"state": "IA",
"country_code": "US",
"postal_code": "504012800",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mason City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.