ELLEN ELIZABETH JACQUE ARNP
NPI 1285264630
Nurse Practitioner - Family in Waverly, IA
About Ellen Elizabeth Jacque Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLEN ELIZABETH JACQUE ARNP (NPI 1285264630) is an individual family provider in Waverly, Iowa, licensed in Iowa (A157621) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with Mercyone Waterloo Medical Center, and is a graduate of University Of Cincinnati College Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ellen Elizabeth Jacque Arnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Ellen Jacque reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Waverly, IA 50677
- Reassigned Medicare billing, Iowa enrollment
- 81 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercyone Waterloo Medical Center
Acute Care Hospitals · Waterloo, IAAllen Hospital
Acute Care Hospitals · Waterloo, IAWaverly Health Center
Critical Access Hospitals · Waverly, IAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 50677 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WAVERLY, IA 50677
WAVERLY, IA 50677
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ellen Jacque's NPI number?
The NPI number for Ellen Jacque is 1285264630. It was assigned to this individual provider in the NPPES registry on January 23, 2020. The provider is also known as Ellen Elizabeth Davis.
Where is Ellen Jacque located?
Ellen Jacque practices at 312 9th St SW, Waverly, IA 50677. The listed phone number is (319) 352-4120.
What is Ellen Jacque's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ellen Jacque enrolled in Medicare?
Yes. Ellen Jacque is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Ellen Jacque's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Jacque reassigns Medicare benefits to Waverly Health Center (Waverly, IA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ellen Jacque's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ellen Jacque accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Ellen Jacque as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Ellen Jacque affiliated with any hospitals?
According to CMS data, Ellen Jacque is affiliated with Mercyone Waterloo Medical Center, Allen Hospital and Waverly Health Center.
When was this NPI record last updated?
The NPPES record for Ellen Jacque was last updated on January 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ellen Elizabeth Jacque, ARNP · NPI 1285264630
Family physician in Waverly, Iowa. Individual provider, active in the CMS NPPES registry since January 23, 2020.
## Identity
- **NPI:** 1285264630 (Entity type: Individual)
- **Enumerated:** January 23, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** A157621 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 312 9TH ST SW, Waverly, IA 50677-2999
- **Phone:** (319) 352-4120
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Waverly Health Center (NPI 1033125463, Waverly, IA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Cincinnati College Of Medicine, class of 2019
## Record status
- **NPPES last updated:** January 23, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1285264630) · Data from the CMS NPPES public registry.