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Active NPI 1467017921 Individual Practitioner Male Practitioner

John Jacob Zion Kelly , FNP-BC

Nurse Practitioner • Waterloo, IA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

John Kelly, FNP-BC is a certified Nurse Practitioner practicing in Waterloo, IA. With approximately 7 years of clinical experience since completing medical education in 2019, John Kelly delivers high-quality medical care to the local community at 3421 W 9TH ST.

John Kelly is affiliated with Veterans Memorial Hospital City Of Waukon Ia and accepts Medicare assignment.

Frequently performed procedures and clinical services include routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit with straightforward medical decision making, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3421 W 9th St

Waterloo, IA 507025401

Telephone 3192728000
Fax 3192727313
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Waterloo, IA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -3.5 yrs vs City Avg
City Avg: 10.5 Yrs
State Avg: 11.8 Yrs
Regional Practice Density
96 Specialists

Practicing in Waterloo, IA (1307 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
93.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kelly (7 Years) 7 Yrs
Waterloo Specialty Average (10.5 Years) 10.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
22 18 $106.00 $6.67

Medical Specialties & State Licenses

CMS Verified: 2020-09-22
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IA A154520

(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.

Hospital & Practice Group Affiliations

Veterans Memorial Hospital City Of Waukon Ia

40 1st St Se, Waukon, IA 521722022

Phone: 5635683411524

Secondary Practice Locations

40 1st St Se

Waukon, IA 521722022

Phone: 5635683411

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
Dr. Paul Franke , MD

Internal Medicine

NPI 1003082546

Doctor of Medicine (M.D.)

Dr. Michelle Kompare , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1013172360

Doctor of Medicine (M.D.)

Krista Miller , CNM

Advanced Practice Midwife

NPI 1033840731

Certified Nurse Midwife

Dr. Md Alal Uddin , MD

Physical Medicine & Rehabilitation

NPI 1174085534

Doctor of Medicine (M.D.)

Dr. Rickie Griffith , DO

Emergency Medicine

NPI 1215315536

Doctor of Osteopathic Medicine (D.O.)

NPI 1215506191

Doctor of Podiatric Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 16, 2019

Registered at 3421 W 9TH ST, WATERLOO, IA 507025401 (Tel: 3192728000)

📍
Updated Business Mailing Address August 16, 2019

Registered at 200 CORPORATE BLVD, LAFAYETTE, LA 705083870 (Tel: 8008939698)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2019

Nurse Practitioner (License #A154520 in IA)

NPI Profile Active May 09, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 09, 2019

Registered at 1812 HERITAGE RD, DECORAH, IA 521017508 (Tel: 3195304022)

📍
Updated Business Mailing Address May 09, 2019

Registered at 1812 HERITAGE RD, DECORAH, IA 521017508 (Tel: 3195304022)

👤
Provider Name / Credentials Updated May 09, 2019

Recorded as JOHN KELLY, FNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2019

Emergency Medicine (License #A154520 in IA)

🟢
Initial NPI Registration & Enumeration May 09, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467017921
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2019
Last Update: September 22, 2020
Sole Proprietor: No

Mailing Address

200 Corporate Blvd

Lafayette, LA 705083870

Phone: 8008939698

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.