NPIMap

Individual provider Active NPI

Jarrod D Phelps, PA-C

  • Surgical Physician Assistant
  • Oskaloosa, IA
National Provider Identifier
1265692651
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
1229 C Ave E
Oskaloosa, IA 52577-4298
Phone
(641) 672-3394
Fax
(641) 672-3336
NPI assigned
Jun 10, 2008
Last updated
Mar 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

1229 C Ave E
Oskaloosa, IA 52577-4298

Mailing address

1229 C Ave E
Oskaloosa, IA 52577-4298
Phone (641) 672-3394

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
I20080709000342 IA Practitioner - Physician Assistant 3072685916 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grinnell Regional Medical CenterGroup PAC ID 0446153662, 98 clinicians

Practice addresses (Care Compare)

202 4TH Ave
FL 2
Grinnell, IA 50112-1898
Phone (641) 236-2925

210 4TH Ave
Grinnell, IA 50112-1898
Phone (641) 236-7511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.71 of 100Reported as apm
Quality
89.85
Promoting interoperability
94.05
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
001916IAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mahaska County Hospital Current Accepting new patients
Pella Regional Health Center CurrentSince Jul 1, 2021 Accepting new patients
Pella Regional Health Center CurrentSince Sep 1, 2025 Accepting new patients
Pella Regional Health Center Current Accepting new patients
Grinnell Regional Medical Center CurrentSince Dec 15, 2019 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Mahaska County Hospital CurrentSince Mar 23, 2023 Accepting new patients
Pella Regional Health Center CurrentSince Jul 1, 2021 Accepting new patients

Locations

210 4th Ave
Grinnell, IA 50112
Phone (641) 236-2055

122 4th Ave
Grinnell, IA 50112
Phone (641) 236-4323

1229 C Ave E
Oskaloosa, IA 52577
Phone (641) 672-3100

201 Trueblood Ave
Oskaloosa, IA 52577
Phone (641) 672-3360

405 Monroe St
Pella, IA 50219
Phone (641) 621-2200

Interoperability endpoints

  • Direct secure messaging: jphelps672011@direct.unitypoint.org
  • Direct secure messaging: jarrodphelps@sagllp.allscriptsdirect.net

Organizations & group practices 8

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 1

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": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1265692651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 C AVE E",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525774298",
            "telephone_number": "641-672-3394",
            "fax_number": "641-672-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 C AVE E",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525774298",
            "telephone_number": "641-672-3394",
            "fax_number": "641-672-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "JARROD",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oskaloosa, IA

Sources for this page

Verify at the official NPI Registry.