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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACQUELINE JO KLOSSING PHD
NPI 1790262822
Psychologist - Clinical Child & Adolescent in Davenport, IA

Active since July 21, 2018PECOS Enrolled
4455 E 56TH ST, DAVENPORT, IA 52807(563) 355-2577(563) 355-4015 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jacqueline Jo Klossing Phd NPPES

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

JACQUELINE JO KLOSSING PHD (NPI 1790262822) is an individual clinical child & adolescent provider in Davenport, Iowa, licensed in Iowa (112494) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1790262822
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameJACQUELINE JO KLOSSINGCredential: PHD
Location Address4455 E 56TH STDavenport, IA 52807-2995
Mailing Address1351 W Central Park Ave Ste 4100Davenport, IA 52804-1847 · (563) 421-2641 · Fax (563) 441-0544
Phone(563) 355-2577
Fax(563) 355-4015
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 21, 2018
Last NPPES UpdateOctober 23, 2026
NPPES CertifiedOctober 23, 2026
✔ NPI 1790262822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in IA · 112494
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
4455 E 56TH ST, Davenport, IA 52807
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Health, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Jo Klossing Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193110781
PECOS Enrollment IDI20220317001227
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.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Klossing reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Genesis Health System
Same address
Psychologist
4455 E 56TH ST
Davenport, IA 52807
  • Reassigned Medicare billing, Iowa enrollment
  • 300 clinicians in this Medicare group
NPI 1346220340 (563) 355-2577

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

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.

JENNIFER A O'HARE-MARKER LISW
Social Worker (Clinical)
4455 E 56TH ST
DAVENPORT, IA 52807
Scott County (563) 355-2577
DR. DANIEL LARSON ED.D.
Psychologist
4455 E 56TH ST
DAVENPORT, IA 52807
Scott County (563) 355-2577
ANN G MCDONALD LISW
Social Worker (Clinical)
4455 E 56TH ST
DAVENPORT, IA 52807
Scott County (563) 355-2577
MR. GARY BRIAN JOHNSON MSW
Social Worker
4455 E 56TH ST
DAVENPORT, IA 52807
Scott County (563) 386-4004
MISS CASSANDRA A RIDENOUR RN IL LCPC IL LMHC I
Social Worker
4455 E 56TH ST
DAVENPORT, IA 52807
Scott County (563) 386-4004
DR. STEVE G KOPP PH.D.
Counselor (Mental Health)
4455 E 56TH ST
DAVENPORT, IA 52807
Scott County (563) 355-2577
DR. BABUJI REDDY GANDRA MBBS/MD
Psychiatry & Neurology (Psychiatry)
4455 E 56TH ST
DAVENPORT, IA 52807
Scott County (635) 355-2577
KATHLEEN ELISE ROGALSKI GOETZ
Social Worker (Clinical)
4455 E 56TH ST
DAVENPORT, IA 52807
Scott County (563) 355-2577

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 Jacqueline Klossing's NPI number?

The NPI number for Jacqueline Klossing is 1790262822. It was assigned to this individual provider in the NPPES registry on July 21, 2018.

Where is Jacqueline Klossing located?

Jacqueline Klossing practices at 4455 E 56th St, Davenport, IA 52807. The listed phone number is (563) 355-2577.

What is Jacqueline Klossing's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Jacqueline Klossing enrolled in Medicare?

Yes. Jacqueline Klossing is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacqueline Klossing's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Klossing reassigns Medicare benefits to Genesis Health System (Davenport, 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 Jacqueline Klossing's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Klossing accept?

Health plans from Medica, Oscar Health, Oscar Insurance Company, Sanford Health Plan and Wellmark Health Plan of Iowa, Inc. list Jacqueline Klossing 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 Jacqueline Klossing was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.