ELLEN ELIZABETH JACQUE ARNP
NPI 1285264630
Nurse Practitioner - Family in Waverly, IA

Q: 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.

Q: What is Ellen Jacque's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: 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.

Active since January 23, 2020PECOS EnrolledAccepts Medicare Assignment

312 9TH ST SW, WAVERLY, IA 50677(319) 352-4120 Get Directions Write a Review

NPPES record last updated: January 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

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 Allen Hospital, and is a graduate of University Of Cincinnati College Of Medicine (2019).

NPPES Registry Identity

NPI1285264630

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameELLEN ELIZABETH JACQUECredential: ARNP

Location Address312 9TH ST SWWaverly, IA 50677-2999

Mailing Address312 9th St SwWaverly, IA 50677-2999 · (319) 352-4120

Phone(319) 352-4120

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2019

Enumeration DateJanuary 23, 2020

✔ NPI 1285264630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IA · A157621

312 9TH ST SW, Waverly, IA 50677

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Other Names 1

Former Name (1)Ellen Elizabeth Davis

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID7719315043

PECOS Enrollment IDI20200319000463

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Allen Hospital

Acute Care Hospitals · Waterloo, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160110

Location1825 Logan AvenueWaterloo, IA 50703 · Black Hawk County

Emergency services Birthing friendly

Waverly Health Center

Critical Access Hospitals · Waverly, IA

OwnershipGovernment - Local

CMS Certification Number161339

Location312 9th Street SWWaverly, IA 50677 · Bremer County

Emergency services Birthing friendly

Physician 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.

New Patient

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

2 suppliers13 claims18 services$6.21 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers15 claims15 services$40.49 avg. paid by Medicare

Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg J7614

DME-Drugs Administered Through DME · category DG006N

1 supplier24 claims2,983 services$0.03 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

3 suppliers19 claims19 services$19.78 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

TERESA ANNE ISAACSON ARNP

Nurse Practitioner (Family)