NPIMap

Individual provider Active NPI

Nicole Ruhland

  • Physician Assistant
  • Des Moines, IA
National Provider Identifier
1053996983
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
115938 Issued in IA
Practice address
1221 Pleasant St Ste 400
Des Moines, IA 50309-1426
Phone
(515) 875-9290
Fax
(515) 875-9384
NPI assigned
Mar 11, 2021
Last updated
Dec 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 115938 IA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1221 Pleasant St Ste 400
Des Moines, IA 50309-1426

Mailing address

PO Box 424
Des Moines, IA 50302-0424
Phone (515) 875-9255

Other practice location 1

3200 Grand Ave
Des Moines, IA 50312-4104
Phone (515) 271-1400

Other practice location 2

2304 University Ave
Des Moines, IA 50311-4316
Phone (877) 859-0542

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nicoleruhland@tic.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221013000746 IA Practitioner - Physician Assistant 9335515568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Iowa Clinic PCGroup PAC ID 4082513742, 307 clinicians

Practice addresses (Care Compare)

1005 Pennsylvania Ave
Suite 102a
Ottumwa, IA 52501-6408
Phone (641) 684-2589

1221 Pleasant St
Suite 400
Des Moines, IA 50309-1426
Phone (515) 875-9100

5950 University Ave
West Des Moines, IA 50266-8231
Phone (515) 875-9100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
115938IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Iowa Clinic PC CurrentSince Dec 18, 2023 Accepting new patients
McFarland Clinic PC CurrentSince Aug 19, 2024 Accepting new patients
The Iowa Clinic, PC CurrentSince Dec 18, 2023 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
McFarland Clinic, PC Past Accepting new patients

Locations

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

410 NW Ash Dr
Ankeny, IA 50023
Phone (515) 964-1101

1221 Pleasant St
Ste 400
Des Moines, IA 50309
Phone (515) 241-4161

3200 Grand Ave
Des Moines, IA 50312
Phone (515) 271-1700

802 S Center St
Marshalltown, IA 50158
Phone (641) 752-2266

1005 Pennsylvania Ave
Ste 102A
Ottumwa, IA 52501
Phone (641) 684-2589

5950 University Ave
West Des Moines, IA 50266
Phone (515) 412-5112

5950 University Ave
Ste 285
West Des Moines, IA 50266
Phone (515) 875-9290

Interoperability endpoints

  • Direct secure messaging: nicoleruhland@tic.allscriptsdirect.net
  • Direct secure messaging: nruhland116834@directmcfarlandclinic.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1053996983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 424",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503020424",
            "telephone_number": "515-875-9255",
            "fax_number": "515-875-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 PLEASANT ST STE 400",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091426",
            "telephone_number": "515-875-9290",
            "fax_number": "515-875-9384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503124104",
            "country_code": "US",
            "telephone_number": "515-271-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2304 University Ave",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503114316",
            "country_code": "US",
            "telephone_number": "877-859-0542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUHLAND",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "115938",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicoleruhland@tic.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1221 Pleasant St Ste 400",
            "city": "Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "503091426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.