Individual provider Active NPI

Jessica Lynn Lucas, PA-C

  • Physician Assistant
  • Des Moines, IA
National Provider Identifier
1285156216
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
088133 Issued in IA
Practice address
411 Laurel St Ste A250
Des Moines, IA 50314-3029
Phone
(515) 235-5000
Fax
(515) 288-6713
NPI assigned
Jul 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 088133 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 names 1

  • Jessica Wilson Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170929000549 IA Practitioner - Physician Assistant 0446525588 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
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 1225
Des Moines, IA 50314-3017
Phone (515) 633-3770

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
088133IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Iowa Mercy Clinics Current Accepting new patients
North Iowa Mercy Clinics Physician Assistant CurrentSince Dec 6, 2021 Accepting new patients
North Iowa Mercy Clinics CurrentSince Dec 6, 2021 Accepting new patients
Catholic Health Initiatives-Iowa Corp CurrentSince Jul 8, 2019 Accepting new patients
Catholic Health Initiatives-Iowa Corp Physician Assistant CurrentSince Jul 8, 2019 Accepting new patients
Iowa Heart Center PC Past Accepting new patients

Locations

1816 Philadelphia St
Ames, IA 50010
Phone (515) 232-2500

411 Laurel St
Ste A250
Des Moines, IA 50314
Phone (515) 235-5000

250 S Crescent Dr
Mason City, IA 50401
Phone (541) 422-6588

Interoperability endpoints

  • Direct secure messaging: jessica.wilson.p1@direct.iowaheart.nextgenshare.com
  • Direct secure messaging: jlucas3961162@direct.trinity-health.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1285156216",
    "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": "LUCAS",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "088133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WILSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.