Individual provider Active NPI

Benjamin Becker, P.A.

  • Medical Physician Assistant
  • Clarion, IA
National Provider Identifier
1124413307
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
084779 Issued in IA
Practice address
1316 S Main St
Clarion, IA 50525-2019
Phone
(515) 532-2811
Fax
(515) 532-9336
NPI assigned
Apr 3, 2015
Last updated
Sep 14, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2015008634 MO
Surgical Physician Assistant 363AS0400X 2015008634 MO
Surgical Physician Assistant 363AS0400X 084779 IA
Medical Physician Assistant 363AM0700X 084779 IA Primary

Addresses

Primary practice location

1316 S Main St
Clarion, IA 50525-2019

Mailing address

1316 S Main St
Clarion, IA 50525-2019
Phone (515) 532-2811

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
I20170410000973 IA Practitioner - Physician Assistant 5597086330 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Specialty Hospital- ClarionGroup PAC ID 3375451347, shared by 6 NPIs, 94 clinicians

Practice addresses (Care Compare)

1000 15TH St N
Humboldt, IA 50548-1008
Phone (515) 955-6767

1316 S Main St
Clarion, IA 50525-2019
Phone (515) 532-2811

2700 1St Ave S
Fort Dodge, IA 50501-4300
Phone (515) 955-6767

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
084779IAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Humboldt County Memorial Hospital CurrentSince Nov 2, 2019 Accepting new patients
Humboldt County Memorial Hospital CurrentSince Nov 2, 2019 Accepting new patients
Iowa Specialty Hospital- Clarion CurrentSince Mar 7, 2017 Accepting new patients
Iowa Specialty Hospital- Clarion Current Accepting new patients
Belmond Community Hospital CurrentSince Mar 7, 2017 Accepting new patients
Belmond Community Hospital Current Accepting new patients
Iowa Specialty Hospital- Clarion Past Accepting new patients

Locations

403 1st St SE
Belmond, IA 50421
Phone (641) 444-3223

1316 S Main St
Clarion, IA 50525
Phone (515) 532-2811

215 13th Ave SW
Clarion, IA 50525
Phone (515) 532-2836

2700 1st Ave S
Ste 100
Fort Dodge, IA 50501
Phone (515) 955-6767

840 W US Highway 18
Garner, IA 50438
Phone (641) 925-1500

1000 15th St N
Humboldt, IA 50548
Phone (515) 332-4200

800 S Fillmore St
Osceola, IA 50213
Phone (641) 342-2184

Interoperability endpoints

  • Direct secure messaging: bbecker107868@uihcdirect.org

Organizations & group practices 7

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 5

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": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1124413307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 S MAIN ST",
            "city": "CLARION",
            "state": "IA",
            "postal_code": "505252019",
            "telephone_number": "515-532-2811",
            "fax_number": "515-532-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 S MAIN ST",
            "city": "CLARION",
            "state": "IA",
            "postal_code": "505252019",
            "telephone_number": "515-532-2811",
            "fax_number": "515-532-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "BENJAMIN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-03",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MO",
            "license": "2015008634",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MO",
            "license": "2015008634",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IA",
            "license": "084779",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "084779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarion, IA

Sources for this page

Verify at the official NPI Registry.