MR. JOHN JACOB ZION KELLY FNP-BC
NPI 1467017921
Nurse Practitioner in Waterloo, IA
About Mr. John Jacob Zion Kelly Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOHN JACOB ZION KELLY FNP-BC (NPI 1467017921) is an individual nurse practitioner in Waterloo, Iowa, licensed in Iowa (A154520) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Veterans Memorial Hospital, and maintains a secondary practice location in Waukon.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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
Mr. John Jacob Zion Kelly Fnp-bc 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 Reassignments
4Medicare enrollment records show John Kelly reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Waterloo, IA 50702
- Reassigned Medicare billing, Iowa enrollment
- 70 clinicians in this Medicare group
Fayette, IA 52142
- Reassigned Medicare billing, Iowa enrollment
- Also billed through NPI 1619922051 (Iowa)
- 170 clinicians in this Medicare group
West Union, IA 52175
- Reassigned Medicare billing, Iowa enrollment
- 155 clinicians in this Medicare group
Postville, IA 52162
- Reassigned Medicare billing, Iowa enrollment
- Also billed through NPI 1447381322 (Iowa), NPI 1164599643 (Iowa)
- 89 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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Veterans Memorial Hospital
Critical Access Hospitals · Waukon, IAWinnmed
Critical Access Hospitals · Decorah, IAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 50702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WATERLOO, IA 50702
WATERLOO, IA 50702
WATERLOO, IA 50702
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 John Kelly's NPI number?
The NPI number for John Kelly is 1467017921. It was assigned to this individual provider in the NPPES registry on May 9, 2019.
Where is John Kelly located?
John Kelly practices at 3421 W 9th St, Waterloo, IA 50702. The listed phone number is (319) 272-8000.
What is John Kelly's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is John Kelly enrolled in Medicare?
Yes. John Kelly 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 organizations bill Medicare for John Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Kelly reassigns Medicare benefits to 4 organizations: Iowa Emergency Physicians LLP (Waterloo, IA), Winneshiek Medical Center (Fayette, IA), Palmer Lutheran Health Center, Inc. (West Union, IA) and Veterans Memorial Hospital City Of Waukon Ia (Postville, IA). Each 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 John Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Kelly accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Insurance Company and 1 other insurer list John Kelly 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 John Kelly affiliated with any hospitals?
According to CMS data, John Kelly is affiliated with Veterans Memorial Hospital and Winnmed.
When was this NPI record last updated?
The NPPES record for John Kelly was last updated on September 22, 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.
# Mr. John Jacob Zion Kelly, FNP-BC · NPI 1467017921
Nurse Practitioner physician in Waterloo, Iowa. Individual provider, active in the CMS NPPES registry since May 9, 2019.
## Identity
- **NPI:** 1467017921 (Entity type: Individual)
- **Enumerated:** May 9, 2019
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** A154520 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 3421 W 9TH ST, Waterloo, IA 50702-5401
- **Phone:** (319) 272-8000 · **Fax:** (319) 272-7313
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Iowa Emergency Physicians LLP (NPI 1386879427, Waterloo, IA); Winneshiek Medical Center (NPI 1245857515, Fayette, IA); Palmer Lutheran Health Center, Inc. (NPI 1891744108, West Union, IA); Veterans Memorial Hospital City Of Waukon Ia (NPI 1417696527, Postville, IA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1467017921) · Data from the CMS NPPES public registry.