Active NPI
Jody Lynn Horstman, ARNP
- Primary Care Nurse Practitioner
- West Des Moines, IA
National Provider Identifier
1962923417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- H117120
- Practice address
- 1089 Jordan Creek Pkwy Ste 116
West Des Moines, IA 50266-5829 - Phone
- (515) 327-2000
- Fax
- (515) 327-2019
- NPI assigned
- Jul 5, 2017
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | H117120 | IA | Primary |
Addresses
Primary practice location
1089 Jordan Creek Pkwy Ste 116
West Des Moines, IA 50266-5829
Mailing address
403 1St St SE
Belmond, IA 50421-1201
Phone (641) 444-5576
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170818000397 | IA | Practitioner - Nurse Practitioner | 0547532079 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H117120 | IA | MD | Primary Care Nurse Practitioner |
Interoperability endpoints
- jhorstman94469@uihcdirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583884800000",
"number": "1962923417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 1ST ST SE",
"city": "BELMOND",
"state": "IA",
"postal_code": "504211201",
"telephone_number": "641-444-5576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1089 JORDAN CREEK PKWY STE 116",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502665829",
"telephone_number": "515-327-2000",
"fax_number": "515-327-2019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORSTMAN",
"first_name": "JODY",
"middle_name": "LYNN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-05",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "IA",
"license": "H117120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.