Anissa J Irlmeier, P.A.-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

00968 Issued in IA

Practice address

515 Pacific Ave
Suite 2
Audubon, IA 50025-1056

Phone

(712) 563-4611

Fax

(712) 563-2498

NPI assigned

Sep 20, 2005

Last updated

Aug 6, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Manning Regional Healthcare Center

  • Critical Access Hospital
  • Manning, IA
  • NPI 1467509141
  Medicare reassignment NPD
• Manning Regional Healthcare Center

  • Family Medicine Physician
  • Manning, IA
  • NPI 1306969175
  Medicare reassignment
• Manning Regional Healthcare Center

  dba Manning Regional Healthcare Clinic

  • Family Medicine Physician
  • Manning, IA
  • NPI 1235432196
  NPD
• Manning Regional Healthcare Center

  dba Manning Regional Healthcare Clinic

  • Rural Health Clinic/Center
  • Manning, IA
  • NPI 1528362910
  NPD

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344211200000",
    "number": "1174519763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 PACIFIC AVE",
            "city": "AUDUBON",
            "state": "IA",
            "postal_code": "500251056",
            "telephone_number": "712-563-4611",
            "fax_number": "712-563-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 PACIFIC AVE",
            "address_2": "SUITE 2",
            "city": "AUDUBON",
            "state": "IA",
            "postal_code": "500251056",
            "telephone_number": "712-563-4611",
            "fax_number": "712-563-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRLMEIER",
        "first_name": "ANISSA",
        "middle_name": "J",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2012-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "00968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Friendship Home Association
• GRX
• GRX Holdings LLC (Medicap Pharmacy)
• GRX Holdings, LLC (Medicap Pharmacy)
• Riann Elizabeth Hansen, ATC, LMT
• Hope Jennifer Jensen, ARNP
• Kimwood, Inc. (Medicap Pharmacy)
• Carol Klocke, ARNP
• Jeffrey M Maire, DO
• Rae Marie McDivitt, ARNP

• Medical Physician Assistant in Audubon, IA
• Providers in Audubon, IA by specialty
• Medical Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.