Active NPI
Kaitlyn E Creger, PA-C
- Physician Assistant
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 092828
- Practice address
- 411 Laurel St Ste A250
Des Moines, IA 50314-3029 - Phone
- (515) 235-5000
- Fax
- (515) 288-6713
- NPI assigned
- Jul 11, 2018
- Last updated
- Jun 15, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 092828 | IA | Primary |
Addresses
Primary practice location
411 Laurel St Ste A250
Des Moines, IA 50314-3029
Mailing address
PO Box 9170
Des Moines, IA 50306-9170
Phone (515) 633-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092828 | Other | IA | IOWA BOARD OF PHYSICIAN ASSISTANTS |
Other names 1
- Kaitlyn E Hennings
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1816 Philadelphia St
Ames, IA 50010-8771
Phone (515) 232-2500
411 Laurel St
Suite A250
Des Moines, IA 50314-3029
Phone (515) 235-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 092828 | IA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Health Initiatives-Iowa Corp | Current | Accepting new patients | |
| Catholic Health Initiatives-Iowa Corp | Physician Assistant | Current | Accepting new patients |
| Iowa Heart Center PC | Past | Accepting new patients |
Locations
1816 Philadelphia St
Ames, IA 50010
Phone (515) 232-2500
405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259
411 Laurel St
Ste A250
Des Moines, IA 50314
Phone (515) 235-5000
Interoperability endpoints
- kaitlyn.hennings.p1@direct.iowaheart.nextgenshare.com
- kcreger3942118@direct.trinity-health.org
Organizations & group practices 3
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.
-
dba MercyOne Iowa Heart Center
- Clinical Cardiac Electrophysiology Physician
- West Des Moines, IA
- NPI 1629301684
-
dba MercyOne Des Moines Cancer and Infusion Care-Newton
- Hematology & Oncology Physician
- Newton, IA
- NPI 1841039856
Physician Assistant
-
- Cardiovascular Disease Physician
- West Des Moines, IA
- NPI 1164410932
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MercyOne West Des Moines Medical Center
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1538395975
-
dba MercyOne Des Moines Laboratory
- Clinical Medical Laboratory
- Des Moines, IA
- NPI 1104982743
Hospital
-
dba MercyOne Des Moines Medical Center
- General Acute Care Hospital
- Des Moines, IA
- NPI 1508964883
-
dba Mercy Medical Mammography Center
- Mammography Clinic/Center
- Des Moines, IA
- NPI 1477984367
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592179200000",
"number": "1285110403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9170",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503069170",
"telephone_number": "515-633-3600",
"fax_number": "515-633-3838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 LAUREL ST STE A250",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503143029",
"telephone_number": "515-235-5000",
"fax_number": "515-288-6713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREGER",
"first_name": "KAITLYN",
"middle_name": "E",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-11",
"last_updated": "2020-06-15",
"certification_date": "2020-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "092828",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IOWA BOARD OF PHYSICIAN ASSISTANTS",
"identifier": "092828",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KAITLYN",
"last_name": "HENNINGS",
"middle_name": "E",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.