Carrie J Kenkel
Individual provider Active NPI Physician Assistant · Eldora, IA
NPI 1124574553 · NPPES record last updated Aug 31, 2016
Key facts
- NPI
- 1124574553
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 084170 (IA)
- Practice address
- 1506 Edgington Ave
Eldora, IA 50627-1624 - Phone
- (641) 939-7777
- Fax
- (641) 939-7778
- NPI assigned
- Aug 26, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iowa Physicians Clinic Medical Foundation
Practice addresses (Care Compare)
30 E Hickman Rd
Family Med Waukee
Waukee, IA 50263-5011
Phone (515) 987-3447
40 E Hickman Rd
Pediatrics Waukee
Waukee, IA 50263-5011
Phone (515) 987-6610
4480 Utica Ridge Rd
Bettendorf, IA 52722-1644
4480 Utica Ridge Rd
Suite 160
Bettendorf, IA 52722-1637
Phone (563) 742-5950
50 E Hickman Rd
PT Waukee
Waukee, IA 50263-5011
Phone (515) 216-2999
Hospital & facility affiliations
- Unitypoint at Home
- Unitypoint Health - Des Moines Iowa Methodist Medi
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160929000532 | IA | Practitioner - Physician Assistant | 3577850981 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Physician Assistant | Current |
Accepting new patients |
| Salahuddin Syed MD PC | Current | Accepting new patients | |
| Unitypoint Health - Marshalltown | Current |
Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Current |
Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
1506 Edgington Ave
Eldora, IA 50627
Phone (641) 939-7777
101 E J Ave
Ste 120
Grundy Center, IA 50638
Phone (319) 824-6945
55 Unitypoint Way
Marshalltown, IA 50158
Phone (641) 754-5145
502 3rd St
Parkersburg, IA 50665
Phone (319) 346-2331
8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363
30 E Highway 6
Waukee, IA 50263
Phone (515) 987-3447
Interoperability endpoints
- ckenkel432518@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 084170 | IA | Yes |
Addresses
Primary practice location
1506 Edgington Ave
Eldora, IA 50627-1624
Mailing address
1506 Edgington Ave
Eldora, IA 50627-1624
Phone (641) 939-7777
Other providers in Eldora, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.