Individual provider Active NPI

Jana Lynn Poock, DPM

  • Foot & Ankle Surgery Podiatrist
  • Waukee, IA
National Provider Identifier
1962484287
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
00765 Issued in IA
Practice address
1340 E Hickman Rd
Suite D
Waukee, IA 50263-8137
Phone
(515) 987-8833
Fax
(515) 987-3718
NPI assigned
Nov 14, 2005
Last updated
Nov 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 00765 IA Primary

Addresses

Primary practice location

1340 E Hickman Rd
Suite D
Waukee, IA 50263-8137

Mailing address

5525 NW 78TH CT
Johnston, IA 50131-1700
Phone (515) 276-1115

Other identifiers 1

IdentifierTypeStateIssuer
6489460001OtherIADMERC

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040721001694 IA Practitioner - Podiatry 5496735318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1340 E Hickman Rd
All About Foot Care
Waukee, IA 50263-8137
Phone (515) 987-8833

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1574

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
765IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jana Poock DPM PC Foot & Ankle Surgery CurrentSince Jan 1, 2011 Accepting new patients
Diagnostic & Critical Care Medicine Past Accepting new patients
David a. Yount DPM, PC Foot & Ankle Surgery PastSince May 15, 2002 Accepting new patients
Uthe Hearing Aid and Audiology Centers, LLC Past Accepting new patients

Locations

2555 Berkshire Pkwy
Ste D
Clive, IA 50325
Phone (515) 978-8833

1340 E Hickman Rd
Waukee, IA 50263
Phone (515) 978-2980

1340 E Hickman Rd
Ste D
Waukee, IA 50263
Phone (515) 987-8833

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1962484287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 NW 78TH CT",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501311700",
            "telephone_number": "515-276-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 E HICKMAN RD",
            "address_2": "SUITE D",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638137",
            "telephone_number": "515-987-8833",
            "fax_number": "515-987-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOCK",
        "first_name": "JANA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-14",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IA",
            "license": "00765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "6489460001",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukee, IA

Sources for this page

Verify at the official NPI Registry.