DR. JESSICA A. WHITE (M.D.) – Emergency Medicine Physician, NPI 1689665622

DR. JESSICA A. WHITE (M.D.) is a healthcare provider. based in Waterloo, Iowa. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 33899 (IA). The NPI Number for DR. JESSICA A. WHITE (M.D.) is 1689665622

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. JESSICA A. WHITE (M.D.)
NPI
1689665622
Phone
(319) 235-3697
Address
1825 LOGAN AVE
Enumeration Date
31 October 2005
Last Update Date
22 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
31964255438068
Graduation Year
1999 (27 years ago)
PAC ID
3476449950
Group Practice PAC ID
0749199446
Professional Enrollment ID
I20040223000734
Address ID
IA523011261MA300XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,656 FAMILY PRACTICE in IA

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Provider Addresses for DR. JESSICA A. WHITE (M.D.)

  • Allen Hospital, 1825, Logan Avenue, Waterloo, Black Hawk County, Iowa, 50703, United States

    EMERGENCY DEPARTMENT

    WATERLOO, IA 507031916

    Phone: (319) 235-3697

    Fax: (319) 235-3844

    Mailing address matches the actual address.

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: 2004-02-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040223000734IFamily PracticeIATBD

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.

Verify on CMS Revalidation Lookup Tool

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 50703)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749199446View full group profile
NameSpecialtyState
Hematology/Oncology, Internal MedicineIA
Nurse PractitionerIA
N E U R O L O G YIL
Family PracticeIA
Nurse PractitionerIA
Physician AssistantIA
Physician AssistantIA
Family Practice, Emergency MedicineIA
Nurse PractitionerIA
Orthopedic SurgeryIA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. JESSICA A. WHITE (M.D.)?
NPI 1689665622 is assigned to DR. JESSICA A. WHITE (M.D.) under the national enumeration system.
Is DR. JESSICA A. WHITE (M.D.) currently active in the NPI registry?
CMS-published data lists DR. JESSICA A. WHITE (M.D.) as an active registrant.
Does DR. JESSICA A. WHITE (M.D.) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for DR. JESSICA A. WHITE (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. JESSICA A. WHITE (M.D.)?
The snapshot lists Waterloo, Iowa for DR. JESSICA A. WHITE (M.D.); download NPPES for the complete set.
Is DR. JESSICA A. WHITE (M.D.) a real provider?
This page reflects official NPPES data for NPI 1689665622. Always confirm identity and privileges with the practice and licensing boards.

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