JODY L KAPUSTKA (ARNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1275834012
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
3,529 NURSE PRACTITIONER in IA
Provider Addresses for JODY L KAPUSTKA (ARNP)
2521 UNIVERSITY BLVD STE 121
AMES, IA 500108629
Phone: (515) 292-2150
Fax: (515) 292-2184
Type: Location
1111 DUFF AVE
AMES, IA 500105745
Phone: (515) 239-2011
Type: Location
2521 University Blvd Ste 121
Ames, IA 500108629
Phone: (515) 292-2150
Fax: (515) 292-2184
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 83 Open Payments records for all available years, with a total value of $2,024.
Total Amount is formed as General ($2,024) + Research ($0) + Ownership ($0) = $2,024.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Alkermes, Inc. ($313).
Total Amount
$2,024
General + Research + Ownership
Payments
83
Total payment records
General Amount
$2,024
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alkermes, Inc. | $313 |
| Axsome Therapeutics, Inc. | $297 |
| ABBVIE INC. | $231 |
| Corium, LLC | $215 |
| ITI, Inc. | $161 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-01-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (952 days ago).
Enrollment records
1
Earliest due date
2023-10-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110114000229 | I | Nurse Practitioner | IA | 2023-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 50010)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IA | |
| Clinical Psychologist | IA | |
| Clinical Psychologist | IA | |
| - | IA | |
| Clinical Social Worker | IA | |
| Mental Health Counselor | IA | |
| - | IA | |
| - | IA | |
| - | IA | |
| Clinical Psychologist | IA |
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