Individual provider Active NPI

Kimberly P Ferrante, PA-C

  • Physician Assistant
  • Coralville, IA
National Provider Identifier
1083080980
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
079248 Issued in IA
Practice address
2591 Holiday Rd
Coralville, IA 52241-3039
Phone
(319) 356-4901
NPI assigned
Aug 13, 2015
Last updated
Feb 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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 079248 IA Primary

Addresses

Primary practice location

2591 Holiday Rd
Coralville, IA 52241-3039

Mailing address

200 Hawkins Dr
Iowa City, IA 52242-1009

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
I20151022002790 IA Practitioner - Physician Assistant 8820307382 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians

Practice addresses (Care Compare)

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616

2591 Holiday Rd
Coralville, IA 52241-3039
Phone (319) 467-7150

3640 Middlebury Rd
Iowa City, IA 52245-2712
Phone (319) 339-7475

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Physician Associates, Inc CurrentSince Mar 19, 2019 Accepting new patients
Linn County Emergency Medicine PC CurrentSince Feb 15, 2016 Accepting new patients
Mercy Care Management, Inc CurrentSince Nov 20, 2017 Accepting new patients
Mercy Care Management, Inc CurrentSince Nov 20, 2017 Accepting new patients
State University of Iowa CurrentSince Oct 7, 2015 Accepting new patients
Mercy Physician Associates Inc CurrentSince Mar 19, 2019 Accepting new patients

Locations

411 10th St SE
Ste 2300
Cedar Rapids, IA 52403
Phone (319) 731-1430

5264 Council St NE
Ste 100
Cedar Rapids, IA 52402
Phone (319) 221-8444

701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011

1195 Boyson Rd
Ste 101
Hiawatha, IA 52233
Phone (319) 832-3950

1790 Blairs Ferry Rd
Hiawatha, IA 52233
Phone (319) 378-8362

1632 Sycamore St
Iowa City, IA 52240
Phone (319) 467-8350

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-2633

200 Hawkins Dr
#H
Iowa City, IA 52242

201 S Clinton St
Ste 168
Iowa City, IA 52240
Phone (319) 384-8877

2591 Holiday Rd
Iowa City, IA 52241
Phone (319) 467-7150

3640 Middlebury Rd
Iowa City, IA 52245
Phone (319) 467-6789

500 E Market St
Iowa City, IA 52245
Phone (319) 339-0300

767 Mormon Trek Blvd
Iowa City, IA 52246
Phone (319) 384-8333

300 W May St
Marengo, IA 52301
Phone (319) 462-8011

999 35th St
Marion, IA 52302

720 Pacha Pkwy
Ste 1
North Liberty, IA 52317
Phone (319) 384-8801

Interoperability endpoints

  • Direct secure messaging: kferrante58649@uihcdirect.org

Organizations & group practices 9

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 2

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": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1083080980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2591 HOLIDAY RD",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522413039",
            "telephone_number": "319-356-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRANTE",
        "first_name": "KIMBERLY",
        "middle_name": "P",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-13",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "079248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

Verify at the official NPI Registry.