Active NPI
Annie Penquite Hamilton, PA-C
- Physician Assistant
- Pleasant Hill, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 101949
- Practice address
- 5900 E University Ave Ste 100
Pleasant Hill, IA 50327-8467 - Phone
- (515) 643-2400
- Fax
- (515) 643-4766
- NPI assigned
- Mar 24, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 101949 | IA | Primary |
Addresses
Primary practice location
5900 E University Ave Ste 100
Pleasant Hill, IA 50327-8467
Mailing address
PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-2400
Other names 1
- Annie Lorraine Penquite
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1755 59TH PL
West Des Moines, IA 50266-7737
Phone (515) 247-4240
330 Laurel St
Suite 1200
Des Moines, IA 50314-3044
Phone (515) 643-6290
5900 E University Ave
Pleasant Hill, IA 50327-8467
5900 E University Ave
100 Mercyone Pleasant Hill Fam Med Clinic/U
Pleasant Hill, IA 50327-8457
Phone (515) 643-2400
800 E 1St St
Ankeny, IA 50021-2077
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101949 | IA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinics, Inc. | Current | Accepting new patients | |
| Mercy Clinics Inc | Current | Accepting new patients |
Locations
330 Laurel St
Ste 1200
Des Moines, IA 50314
Phone (515) 643-5454
405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259
5900 E University Ave
Ste 100
Pleasant Hill, IA 50327
Phone (515) 643-2400
Interoperability endpoints
- ahamilton3946050@direct.trinity-health.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Clive, IA
- NPI 1487670923
-
- Primary Care Clinic/Center
- Pleasant Hill, IA
- NPI 1215953856
-
- Obstetrics & Gynecology Physician
- Des Moines, IA
- NPI 1508741505
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1538395975
-
- Clinical Medical Laboratory
- Des Moines, IA
- NPI 1104982743
Hospital
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1508964883
-
- Mammography Clinic/Center
- Des Moines, IA
- NPI 1477984367
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686009600000",
"number": "1013544667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1475",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503051475",
"telephone_number": "515-643-2400",
"fax_number": "515-643-4766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 E UNIVERSITY AVE STE 100",
"city": "PLEASANT HILL",
"state": "IA",
"postal_code": "503278467",
"telephone_number": "515-643-2400",
"fax_number": "515-643-4766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "ANNIE",
"middle_name": "PENQUITE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-24",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "101949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNIE",
"last_name": "PENQUITE",
"middle_name": "LORRAINE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pleasant Hill, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.