Individual provider Active NPI

Katherine M. Tjaden, PA-C

  • Physician Assistant
  • Ames, IA
National Provider Identifier
1013974575
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001576 Issued in IA
Practice address
3800 Lincoln Way
Ames, IA 50014-3402
Phone
(515) 956-4100
Fax
(515) 956-4108
NPI assigned
Apr 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001576 IA Primary

Addresses

Primary practice location

3800 Lincoln Way
Ames, IA 50014-3402

Mailing address

PO Box 3014
1215 Duff Ave McFarland Clinic PC
Ames, IA 50010-3014
Phone (515) 239-4501

Other identifiers 3

IdentifierTypeStateIssuer
I12876OtherIAMEDICARE B
0638536MedicaidIA
0152082OtherIAMEDICAID HOSPITAL

Other names 1

  • Katherine M Rhoades Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ktjaden1436@directmcfarlandclinic.com Health Information Exchange (HIE)

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040907000831 IA Practitioner - Physician Assistant 8224004742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McFarland Clinic PCGroup PAC ID 1254244239, 353 clinicians

Practice addresses (Care Compare)

1214 S Grant Rd
Carroll, IA 51401-3102
Phone (712) 792-1500

1215 Duff Ave
Ames, IA 50010-5400
Phone (515) 239-4400

3500 University Blvd
Suite 1001
Ames, IA 50010-3014
Phone (515) 239-3040

3800 Lincoln Way
Ames, IA 50014-3402
Phone (515) 956-4100

640 Lincoln Way
Ames, IA 50010-6911
Phone (515) 956-4051

802 S Ctr St
Marshalltown, IA 50158-3350
Phone (641) 844-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001576IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
McFarland Clinic PC CurrentSince Jul 17, 2006 Accepting new patients
McFarland Clinic, PC Past Accepting new patients
T L Sprague DO PC Past Accepting new patients

Locations

1015 Duff Ave
Ames, IA 50010
Phone (515) 239-4414

1215 Duff Ave
Ames, IA 50010
Phone (515) 239-4400

3800 Lincoln Way
Ames, IA 50014
Phone (515) 292-4269

Interoperability endpoints

  • Direct secure messaging: ktjaden1436@directmcfarlandclinic.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1013974575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3014",
            "address_2": "1215 DUFF AVE MCFARLAND CLINIC PC",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500103014",
            "telephone_number": "515-239-4501",
            "fax_number": "515-239-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 LINCOLN WAY",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500143402",
            "telephone_number": "515-956-4100",
            "fax_number": "515-956-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TJADEN",
        "first_name": "KATHERINE",
        "middle_name": "M.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B",
            "identifier": "I12876",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0638536",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID HOSPITAL",
            "identifier": "0152082",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ktjaden1436@directmcfarlandclinic.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3800 Lincoln Way",
            "city": "Ames",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500143402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "RHOADES",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ames, IA

Sources for this page

Verify at the official NPI Registry.