JESSICA MARIE KRUCKENBERG (NPI# 1194349258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194349258 |
| Entity Type | Individual |
| Full Name | JESSICA MARIE KRUCKENBERG |
| Practice Address |
1215 Duff Ave Ames IA 50010-5400 |
| Mailing Address |
5211 Nevada Cir Ames IA 50014-4520 |
| Practice Telephone | 5152394401 |
| Mailing Telephone | 5152011078 |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A158572 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1215 DUFF AVE |
| City | AMES |
| State | IA |
| Zip Code | 50010-5400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265437081 | Richard L. Glenn Jr. | Hospitalist | 1215 Duff Ave, Ames, IA 50010-5400 | 2005-06-17 |
| 1235765884 | Stephanie Moellers | Nurse Practitioner | 1215 Duff Ave, Ames, IA 50010-5469 | 2020-03-16 |
| 1902384118 | Nichole Leigh O'brien | Nurse Practitioner | 1215 Duff Ave, Ames, IA 50010-5469 | 2018-07-31 |
| 1811480056 | Christopher M Albert | Pharmacist | 1215 Duff Ave, Ames, IA 50010-5400 | 2018-06-12 |
| 1891294823 | Chelsea Sue Wickman | Nurse Practitioner | 1215 Duff Ave, Ames, IA 50010-5469 | 2018-02-05 |
| 1669929758 | Julianne Marie Rolfes | Physical Therapist | 1215 Duff Ave, Ames, IA 50010-5400 | 2016-09-06 |
| 1821471822 | Kara J. Johnson | Physician Assistant | 1215 Duff Ave, Ames, IA 50010-5400 | 2015-07-08 |
| 1568842920 | Erica Rae Bright Henricks | Nurse Practitioner | 1215 Duff Ave, Ames, IA 50010-5400 | 2015-06-01 |
| 1275943334 | Michael Stefl | Orthopaedic Surgery | 1215 Duff Ave, Ames, IA 50010-5469 | 2014-04-29 |
| 1538591896 | John Michael Mcgarity Jr. | Internal Medicine | 1215 Duff Ave, Ames, IA 50010 | 2013-08-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851853063 | Eric Martin Mills | Social Worker | 320 South 17th Street, Ames, IA 50010 | 2019-04-05 |
| 1487147963 | Mcfarland Clinic, PC | Eyewear Supplier (Equipment, not the service) | 3500 University Blvd., Suite 1001, Ames, IA 50010 | 2018-06-11 |
| 1346733763 | Katelyn Elaine Holbrook | Occupational Therapist | 1915 Philadelphia Street, Ames, IA 50010 | 2018-06-11 |
| 1174030571 | Joshua B Hubbell | Peer Specialist | 527 E Lincoln Way #216, Ames, IA 50010 | 2018-01-08 |
| 1528426996 | Brandy Suzanne Walker | Occupational Therapist | 28201 550th Ave, Ames, IA 50010 | 2016-02-01 |
| 1386086338 | Adrienne Rae Shrader | Counselor | 600 5th Street, Suite 200, Ames, IA 50010 | 2013-07-18 |
| 1164708509 | North Central Iowa Mental Health Center Inc | Clinic/Center | 1801 20th St, Ames, IA 50010 | 2011-10-31 |
| 1669752226 | Ashley Rae Loeffelholz | Pharmacist | Nucara Pharmacy #28, 3600 University Blvd Suite 103, Ames, IA 50010 | 2011-08-26 |
| 1245544436 | Crawford Endodontics, Pllc | Dentist | 515 Grand Ave., Suite 102, Ames, IA 50010 | 2010-07-30 |
| 1023256708 | Donald Warren Powers | Family Medicine | 2538 Eisenhower, Ames, IA 50010 | 2009-02-03 |
| Find all providers in zip 50010 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477171445 | Maura Elizabeth Mendus | Nurse Practitioner | 2849 Greensboro Cir, Ames, IA 50010-8917 | 2020-07-07 |
| 1902321110 | Amanda J Vanden Wynboom | Nurse Practitioner | 1606 Golden Aspen Dr Ste 105, Ames, IA 50010-8011 | 2017-08-08 |
| 1437507159 | Brittni Reifschneider | Nurse Practitioner | 2647 Union Dr, Ames, IA 50011 | 2016-06-03 |
| 1487648705 | Karen Lynn Hunke | Nurse Practitioner | 2010 Philadelphia St, Suite #1, Ames, IA 50010-8784 | 2005-08-31 |
| 1891294823 | Chelsea Sue Wickman | Nurse Practitioner | 1215 Duff Ave, Ames, IA 50010-5469 | 2018-02-05 |
| 1730608696 | Janeen Busch | Nurse Practitioner | 2010 Philadelphia St, Ames, IA 50010-8784 | 2017-09-12 |
| 1689115263 | Kindra Gaulke | Nurse Practitioner | 1018 Duff Ave, Ames, IA 50010-5740 | 2017-03-15 |
| 1013468826 | Alyson Vosberg | Nurse Practitioner | 3815 Stange Rd, Ames, IA 50010-3914 | 2016-10-17 |
| 1851847560 | Mary Hackbarth | Nurse Practitioner | 1816 Philadelphia St, Ames, IA 50010-8771 | 2016-09-01 |
| 1336504562 | Amy Navrkal | Nurse Practitioner | 2260 Thielen Student Health, Iowa State University, Ames, IA 50011-2280 | 2015-12-14 |
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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.