Jessica Caine

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

G136109 Issued in IA

Practice address

117 S Olive St
Maquoketa, IA 52060-3015

Phone

(563) 652-4958

Fax

(563) 652-2418

NPI assigned

Feb 18, 2014

Last updated

Mar 20, 2020By 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 2

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

Nurse Practitioner

Education

University of South Alabama College of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jessica Joan Caine Inc

  dba A Mindful Journey

  • Psychiatric/Mental Health Nurse Practitioner
  • Dubuque, IA
  • NPI 1922632777
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1932523552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S OLIVE ST",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520603015",
            "telephone_number": "563-652-4958",
            "fax_number": "563-652-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S OLIVE ST",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520603015",
            "telephone_number": "563-652-4958",
            "fax_number": "563-652-2418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Mercy Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dubuque",
            "state": "IA",
            "postal_code": "520017392",
            "country_code": "US",
            "telephone_number": "563-582-0145",
            "fax_number": "888-526-5456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAINE",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-18",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IA",
            "license": "136109",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G136109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leanne Bowman
• N Jean Brownson, MSW, LISW
• Bruce a D'Agostino DDS PC
• Tammy Sue Bullock, PHARMD
• Jerald W Bybee, MD
• Andrew James Carrell, D.D.S.
• Tammy Sue Cline, BA,CADC
• Connie Jo Connolly, RPH
• Crestridge, Inc (Crestridge Care Center)
• Bruce Anthony D'Agostino, DDS

• Psychiatric/Mental Health Nurse Practitioner in Maquoketa, IA
• Providers in Maquoketa, IA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; 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.