JEAN L WESTENDORF (NPI# 1083609929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083609929 |
| Entity Type | Individual |
| Full Name | JEAN L WESTENDORF |
| Credential | ARNP |
| Practice Address |
621 S Illinois Ave Suite 100 Mason City IA 50401 |
| Mailing Address |
621 S Illinois Ave Suite 103 Mason City IA 50401 |
| Practice Telephone | 6414286900 |
| Practice Fax Number | 6414286909 |
| Mailing Telephone | 6414286900 |
| Mailing Fax Number | 6414286909 |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 039850 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | C039850 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0425017 | 05 | |
| IA | WELLMARK BCBS | 55760 | 01 |
| Street Address |
621 S ILLINOIS AVE SUITE 100 |
| City | MASON CITY |
| State | IA |
| Zip Code | 50401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962934844 | Babajide Adio | Internal Medicine | 621 S Illinois Ave, Suite 100, Mason City, IA 50401-5489 | 2017-03-30 |
| 1912328725 | North Iowa Mercy Clinics | Family Medicine | 621 S Illinois Ave, Suite 100, Mason City, IA 50401-5405 | 2013-12-20 |
| 1952656654 | Alyssa Anne Rider | Dietitian, Registered | 621 S Illinois Ave, Mason City, IA 50401-5405 | 2012-07-18 |
| 1427333194 | North Iowa Mercy Clinics | Nurse Practitioner | 621 S Illinois Ave, Suite 100, Mason City, IA 50401-5489 | 2011-10-13 |
| 1235422056 | Brian Michael Kuchay | Emergency Medicine | 621 S Illinois Ave, Mason City, IA 50401-5405 | 2011-05-26 |
| 1659671295 | Martha A Ryan | Radiology | 621 S Illinois Ave, Suite 103, Mason City, IA 50401-5489 | 2010-10-29 |
| 1326279704 | Smitha A Kanak | Internal Medicine | 621 S Illinois Ave, Mason City, IA 50401-5489 | 2009-08-03 |
| 1245494871 | Shumaila Masood | Family Medicine | 621 S Illinois Ave, Mason City, IA 50401-5405 | 2008-07-14 |
| 1982803334 | Nimalka Panamulla Jayatilleka | Family Medicine | 621 S Illinois Ave, Suite 100, Mason City, IA 50401-5489 | 2007-07-16 |
| 1548315005 | Sarah Swegle | Pharmacist | 621 S Illinois Ave, Suite 104, Mason City, IA 50401-5489 | 2007-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912544123 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1140 Limestone St, Mason City, IA 50401 | 2019-12-06 |
| 1548829989 | Debra Lynn Perzynski | Counselor | 103 E State St Suite 301, Brick and Tile Building, Mason City, IA 50401 | 2019-06-10 |
| 1851858617 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 80 North Eisenhower Ave, Mason City, IA 50401 | 2019-02-27 |
| 1578055521 | Alex Jon Uhlenhopp | Optometrist | 422 S Pierce Ave Ste 1, Mason City, IA 50401 | 2018-06-05 |
| 1538672985 | Bonnie Jean Burnett | Hearing Instrument Specialist | 704 16th St. Ne, Mason City, IA 50401 | 2017-11-08 |
| 1639691009 | Jeremy Baker | Counselor | 320 N Eisenhower Avenue, Mason City, IA 50401 | 2017-07-07 |
| 1437689940 | Medi-dent, Inc. | Psychiatry & Neurology | 1050 15th St. S.w., Suite 2, Mason City, IA 50401 | 2017-06-18 |
| 1922485283 | Jamie Lynn Heard | Social Worker | 50 N. Eisenhower Ave., Mason City, IA 50401 | 2015-05-06 |
| 1558756999 | Tyler Borchardt | Specialist/Technologist | 640 South Indiana Avenue, Mason City, IA 50401 | 2015-04-02 |
| 1811339203 | Siddiq A. Khan | General Practice | 520 S. Pierce Ave. Suite 150, Mason City, IA 50401 | 2013-07-25 |
| Find all providers in zip 50401 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558795252 | Sara Lynn Wolfe | Nurse Practitioner | 520 S Pierce Ave Ste 150, Mason City, IA 50401-2711 | 2013-08-29 |
| 1548438526 | Mercy Medical Center North Iowa | Nurse Practitioner | 1000 4th St Sw Ste Er, Mason City, IA 50401-2800 | 2008-02-13 |
| 1558463539 | Rhonda E Cooper | Nurse Practitioner | 1631 4th St Sw, Suite 114b, Mason City, IA 50401 | 2006-09-01 |
| 1558311399 | Margaret A Runyon | Nurse Practitioner | 1631 4th St Sw Ste 114b, Mason City, IA 50401 | 2006-05-11 |
| 1285298943 | Anna Levan | Nurse Practitioner | 1000 4th St Sw, Mason City, IA 50401-2800 | 2019-04-29 |
| 1336661677 | Taylor Lynn Stille | Nurse Practitioner | 404 N Federal Ave, Mason City, IA 50401-3214 | 2017-07-07 |
| 1790214575 | Tina J Reid | Nurse Practitioner | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2017-06-06 |
| 1043611023 | Alex Scott Farrell | Nurse Practitioner | 1000 4th St Sw, Mason City, IA 50401-2800 | 2014-09-10 |
| 1427333194 | North Iowa Mercy Clinics | Nurse Practitioner | 621 S Illinois Ave, Suite 100, Mason City, IA 50401-5489 | 2011-10-13 |
| 1467601062 | Joy Schrader | Nurse Practitioner | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2008-09-18 |
| Find all providers in MASON CITY | ||||
| City | MASON CITY |
| Zip Code | 50401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.