Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jenna Niccolls

Individual provider Physician Assistant · NPI 1871120469

Jenna Niccolls is a Physician Assistant in Waterloo, Iowa. Graduated from Des Moines University of Osteopathic Medicine and Health Sciences in 2020, 6 years ago. Practices with Cedar Valley Medical Specialists PC, a 76-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
6
Trained at
Des Moines University of Osteopathic Medicine and Health Sciences
Licensed in
IA
In the registry since
2020
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Practice location Address checks out

2515 Cyclone Dr Ste B
Waterloo, IA 50701-9715
Phone: (319) 888-8044
Fax: (319) 349-8402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 515 College St Ste 2800, Cedar Falls, IA 50613-2500 — (319) 268-3990

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 105061 (IA)

Record details

NPI number1871120469
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 24, 2020
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025
Mailing address2515 Cyclone Dr Ste B, Waterloo, IA 50701-9715

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolDES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated 2020 (6 years in practice)
Group practice Cedar Valley Medical Specialists Pc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Waterloo