JACLYN RENAE ROMAN (CNM) – Advanced Practice Midwife, NPI 1639459902
Advanced Practice Midwife
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
88 CERTIFIED NURSE MIDWIFE (CNM) in IA
Provider Addresses for JACLYN RENAE ROMAN (CNM)
200 HAWKINS DR
DEPARTMENT OF OBSTETRICS AND GYNECOLOGY
IOWA CITY, IA 522421009
Phone: (319) 356-7038
Fax: (319) 384-8620
Type: Mailing
500 E Market St
Iowa City, IA 522452633
Phone: (319) 339-3551
Fax: (319) 248-7945
Type: Location
411 10th St SE Ste 1200
Cedar Rapids, IA 524032449
Phone: (319) 362-3434
Fax: (319) 356-3949
Type: Location
3465 Mulberry Ave
Muscatine, IA 527612324
Phone: (563) 263-0339
Fax: (563) 263-5081
Type: Location
1360 N Dodge St
Iowa City, IA 522456114
Phone: (319) 356-2294
Fax: (319) 384-9693
Type: Location
105 E 9th St
Coralville, IA 522412209
Phone: (319) 467-2000
Fax: (319) 467-2510
Type: Location
444 E Polk St
Washington, IA 523531237
Phone: (319) 653-6601
Fax: (319) 356-3949
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2011-10-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
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 |
|---|---|---|---|---|
| I20111011000025 | I | Certified Nurse Midwife (Cnm) | IA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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 52242)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IA | |
| - | IA | |
| - | IA | |
| - | CA | |
| O P H T H A L M O L O G Y | IA | |
| - | IA | |
| - | IA | |
| - | IA | |
| - | CA | |
| - | IA |
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