1. Home
  2. Directory
  3. Iowa
  4. Clive
  5. Optometrist
  6. NPI Profile

JENNIFER DENHARTOG OD LLC
NPI 1649634478
Optometrist in Clive, IA

Active since April 07, 2016
12695 UNIVERSITY AVE STE 170, CLIVE, IA 50325(515) 512-1444(515) 512-1440 Get Directions Write a Review

NPPES record last updated: September 11, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 11, 2018, Jun 22, 2018 (2 updates tracked since 2018).

About Jennifer Denhartog Od Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER DENHARTOG OD LLC (NPI 1649634478) is a healthcare organization registered as an optometrist in Clive, Iowa and active in the NPI registry since April 2016. The organization maintains a secondary practice location in Des Moines and lists Jennifer Denhartog, Owner/od, as its authorized official.

NPPES Registry Identity

NPI1649634478
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameJENNIFER DENHARTOG OD LLC
Location Address12695 UNIVERSITY AVE STE 170Clive, IA 50325
Mailing Address12695 University Ave Ste 170Clive, IA 50325-8217 · (515) 512-1444 · Fax (515) 512-1440
Phone(515) 512-1444
Fax(515) 512-1440
Organization SubpartNo
Authorized OfficialJennifer DenhartogOwner/od · (515) 512-1444
Enumeration DateApril 7, 2016
Last NPPES UpdateSeptember 11, 20182 updates tracked since enumeration
✔ NPI 1649634478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
12695 UNIVERSITY AVE STE 170, Clive, IA 50325
Open in Google Maps ↗

Secondary Practice Location 1

Location 1400 Locust St, Suite 230Des Moines, IA 50309 · Phone (515) 281-0902 · Fax (515) 281-0915

Other Identifiers 1

Medicaid1229344IA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Denhartog Od Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Jennifer Denhartog Od LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jennifer Denhartog, O.D.
Optometry
NPI 1285682245
12695 UNIVERSITY AVE STE 170
Clive, IA 50325
(515) 512-1444
✔ PECOS✔ Accepts MedicareSame address
Madilyn Fouse, OD
Optometry
NPI 1538721782
6025 STAGE RD
Memphis, TN 38134
(901) 373-4207
✔ PECOS✔ Accepts Medicare490 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jennifer Denhartog Od LLC's NPI number?

The NPI number for Jennifer Denhartog Od LLC is 1649634478. It was assigned to this organization in the NPPES registry on April 7, 2016.

Where is Jennifer Denhartog Od LLC located?

Jennifer Denhartog Od LLC is located at 12695 University Ave Ste 170, Clive, IA 50325. The listed phone number is (515) 512-1444.

What is Jennifer Denhartog Od LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jennifer Denhartog Od LLC enrolled in Medicare?

Yes. Jennifer Denhartog Od LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jennifer Denhartog Od LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Jennifer Denhartog Od LLC. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jennifer Denhartog Od LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Jennifer Denhartog Od LLC 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.

When was this NPI record last updated?

The NPPES record for Jennifer Denhartog Od LLC was last updated on September 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.