NPIMap

Individual provider Active NPI

Kellie Marie Alessio, PA-C

  • Physician Assistant
  • Des Moines, IA
National Provider Identifier
1194310755
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
115823 Issued in IA
Practice address
450 Laurel St Ste a
Des Moines, IA 50314-3045
Phone
(515) 247-8400
Fax
(515) 248-8888
NPI assigned
Mar 5, 2021
Last updated
Nov 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 115823 IA Primary
Surgical Physician Assistant 363AS0400X 115823 IA
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

450 Laurel St Ste a
Des Moines, IA 50314-3045

Mailing address

450 Laurel St Ste a
Des Moines, IA 50314-3045
Phone (515) 247-8400

Other names 1

  • Kellie Marie Wong Former name

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
I20220818000555 IA Practitioner - Physician Assistant 7911380332 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Orthopaedic Center PCGroup PAC ID 5597679159, 69 clinicians

Practice addresses (Care Compare)

2425 Grand Prairie Pkwy
Waukee, IA 50263-8994
Phone (515) 247-8400

450 Laurel St
Des Moines, IA 50314-3045
Phone (515) 247-8400

5300 NW 86TH St
Suite 500
Johnston, IA 50131-3164
Phone (515) 247-8400

710 E 1St St
Ankeny, IA 50021-2007
Phone (515) 247-8400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.43 of 100Reported as group
Quality
66.86
Promoting interoperability
98
Improvement activities
40
Cost
69.55

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Hospital Physician Assistant CurrentSince Mar 1, 2024 Accepting new patients
Hamilton County Public Hospital CurrentSince Feb 1, 2024 Accepting new patients
Dallas County Hospital Physician Assistant CurrentSince Mar 1, 2024 Accepting new patients
Iowa Orthopaedic Center, P.C. Physician Assistant CurrentSince Aug 15, 2022 Accepting new patients
Hamilton County Public Hospital Physician Assistant CurrentSince Feb 1, 2024 Accepting new patients
Dallas County Hospital Current Accepting new patients
Iowa Orthopaedic Center, P.C. Surgical CurrentSince Aug 15, 2022 Accepting new patients

Locations

450 Laurel St
Ste A
Des Moines, IA 50314
Phone 5152478400321

450 Laurel St
Ste C
Des Moines, IA 50314
Phone (515) 247-9590

5300 NW 86th St
Ste 500
Johnston, IA 50131

610 10th St
Perry, IA 50220
Phone (515) 465-3547

1121 Jordan Creek Pkwy
Ste 180
West Des Moines, IA 50266

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/dallas-858d3687
  • Direct secure messaging: kalessio3938320@direct.trinity-health.org
  • Direct secure messaging: kellie.alessio.p1@direct.iowaortho.nextgenshare.com

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 7

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": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1194310755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 LAUREL ST STE A",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143045",
            "telephone_number": "515-247-8400",
            "fax_number": "515-248-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 LAUREL ST STE A",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143045",
            "telephone_number": "515-247-8400",
            "fax_number": "515-248-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALESSIO",
        "first_name": "KELLIE",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-05",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "115823",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IA",
            "license": "115823",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLIE",
            "last_name": "WONG",
            "middle_name": "MARIE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.