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MR. JOHN JACOB ZION KELLY FNP-BC
NPI 1467017921
Nurse Practitioner in Waterloo, IA

Active since May 09, 2019PECOS EnrolledAccepts Medicare Assignment
3421 W 9TH ST, WATERLOO, IA 50702(319) 272-8000(319) 272-7313 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 22, 2020, Aug 16, 2019, May 9, 2019 (3 updates tracked since 2019).

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

NPI1467017921
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. JOHN JACOB ZION KELLYCredential: FNP-BC
Location Address3421 W 9TH STWaterloo, IA 50702-5401
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698
Phone(319) 272-8000
Fax(319) 272-7313
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 9, 2019
Last NPPES UpdateSeptember 22, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2020
✔ NPI 1467017921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IA · A154520
Definition
(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.
3421 W 9TH ST, Waterloo, IA 50702
Open in Google Maps ↗

Secondary Practice Location 1

Location 140 1st St SEWaukon, IA 52172-2022 · Phone (563) 568-3411 · Fax (563) 568-6139

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

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.

PECOS PAC ID9133457294
PECOS Enrollment IDI20190827003588
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.

Veterans Memorial Hospital

Critical Access Hospitals · Waukon, IA
OwnershipGovernment - Local
CMS Certification Number161318
Location40 1st Street SEWaukon, IA 52172 · Allamakee County
Emergency services

Winnmed

Critical Access Hospitals · Decorah, IA
OwnershipGovernment - Local
CMS Certification Number161371
Location901 Montgomery StreetDecorah, IA 52101 · Winneshiek County
Emergency services

Physician 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.

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.

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.

PAUL FRANKE M.D.
Internal Medicine
3421 W 9TH ST
WATERLOO, IA 50702
Black Hawk County (319) 272-5655
DR. MICHELLE NICOLE KOMPARE MD
Pediatrics (Neonatal-Perinatal Medicine)
3421 W 9TH ST
WATERLOO, IA 50702
Black Hawk County (319) 272-8000
MARCIA A RELLIHAN D.O.
Nurse Practitioner (Obstetrics & Gynecology)
3421 W 9TH ST, SUITE G4500
WATERLOO, IA 50702
Black Hawk County (319) 233-8865
KRISTA RAE MILLER CNM
Advanced Practice Midwife
3421 W 9TH ST
WATERLOO, IA 50702
Black Hawk County (319) 272-8000
MARY A STEFFENSMEIER
Dietitian, Registered (Nutrition, Sports Dietetics)
3421 W 9TH ST
WATERLOO, IA 50702
Black Hawk County (319) 272-5859
KEVIN J DIRKSEN ARNP
Nurse Practitioner (Acute Care)
3421 W 9TH ST
WATERLOO, IA 50702
Black Hawk County (757) 561-4487
DR. RACHELLE ALEXANDRA MAKINDE MD
Anesthesiology
3421 W 9TH ST
WATERLOO, IA 50702
Black Hawk County (319) 272-5000
LEVI EDWARD ANDREWS DPM
Podiatrist
3421 W 9TH ST
WATERLOO, IA 50702
Black Hawk County (319) 272-2112

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.

What insurance does John Kelly accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers 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.