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JESSICA ROSE TY MD
NPI 1962254144
Student in an Organized Health Care Education/Training Program in Mason City, IA

Active since April 02, 2024PECOS Enrolled
1010 4TH ST SW, STE 340, MASON CITY, IA 50401(641) 428-7766 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 1, 2024, Apr 2, 2024 (2 updates tracked since 2024).

About Jessica Rose Ty Md NPPES

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

JESSICA ROSE TY MD (NPI 1962254144) is an individual student in an organized health care education/training program in Mason City, Iowa and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962254144
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJESSICA ROSE TYCredential: MD
Location Address1010 4TH ST SW, STE 340Mason City, IA 50401-2857
Mailing Address1010 4th St Sw, Ste 340Mason City, IA 50401-2857
Phone(641) 428-7766
Sole ProprietorNo
Enumeration DateApril 2, 2024
Last NPPES UpdateJuly 14, 20252 updates tracked since enumeration
NPPES CertifiedJuly 14, 2025
✔ NPI 1962254144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1010 4TH ST SW, Mason City, IA 50401
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Rose Ty Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

LAURA SPICER
Pharmacist
1010 4TH ST SW
MASON CITY, IA 50401
Cerro Gordo County (641) 422-6105
DR. CHAD M MCCAMBRIDGE MD
Family Medicine
1010 4TH ST SW, SUITE 340
MASON CITY, IA 50401
Cerro Gordo County (641) 428-7766
SIDDHARTH VERMA DO
Student in an Organized Health Care Education/Training Program
1010 4TH ST SW, STE 305
MASON CITY, IA 50401
Cerro Gordo County (641) 428-5700
LUAN M BARGMAN PA
Physician Assistant
1010 4TH ST SW, SUITE 120
MASON CITY, IA 50401
Cerro Gordo County (641) 428-6020
MAGNETIC RESONANCE SERVICES PTR
Clinic/Center (Magnetic Resonance Imaging (MRI))
1010 4TH ST SW, SUITE 100
MASON CITY, IA 50401
Cerro Gordo County (641) 424-0102
WILLIAM D MATTHEWS M.D.
Radiology (Diagnostic Radiology)
1010 4TH ST SW, SUITE 100
MASON CITY, IA 50401
Cerro Gordo County (641) 424-0102
MR. TONY GENE PALS PHARMD
Pharmacist
1010 4TH ST SW
MASON CITY, IA 50401
Cerro Gordo County (641) 422-6105
DANIEL MICHELSON MD
Student in an Organized Health Care Education/Training Program
1010 4TH ST SW, STE 340
MASON CITY, IA 50401
Cerro Gordo County (641) 428-7766

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 Jessica Rose Ty's NPI number?

The NPI number for Jessica Rose Ty is 1962254144. It was assigned to this individual provider in the NPPES registry on April 2, 2024.

Where is Jessica Rose Ty located?

Jessica Rose Ty practices at 1010 4th St SW Ste 340, Mason City, IA 50401. The listed phone number is (641) 428-7766.

What is Jessica Rose Ty's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jessica Rose Ty enrolled in Medicare?

Yes. Jessica Rose Ty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Rose Ty was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.