Individual provider Active NPI

Jacklyn B Auxter, D.O.

  • Family Medicine Physician
  • Albia, IA
National Provider Identifier
1285609859
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3142 Issued in IA
Practice address
6582 165TH St
Albia, IA 52531-8793
Phone
(641) 932-7172
Fax
(641) 932-7174
NPI assigned
Feb 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3142 IA Primary

Addresses

Primary practice location

6582 165TH St
Albia, IA 52531-8793

Mailing address

6582 165TH St
PO Box 127
Albia, IA 52531-8793
Phone (641) 932-7172

Other identifiers 1

IdentifierTypeStateIssuer
0172908MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140213000376 IA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 2466340203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3142IAMDFamily Medicine Physician
03142IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center-Centerville Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1285609859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6582 165TH ST",
            "address_2": "PO BOX 127",
            "city": "ALBIA",
            "state": "IA",
            "postal_code": "525318793",
            "telephone_number": "641-932-7172",
            "fax_number": "641-932-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6582 165TH ST",
            "city": "ALBIA",
            "state": "IA",
            "postal_code": "525318793",
            "telephone_number": "641-932-7172",
            "fax_number": "641-932-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUXTER",
        "first_name": "JACKLYN",
        "middle_name": "B",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "3142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0172908",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albia, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.