Active NPI
Jaime Rae Smolik, PA-C
- Physician Assistant
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001440
- Practice address
- 1111 - 6TH Ave - East Tower
Suite B1
Des Moines, IA 50314-2613 - Phone
- (515) 358-0100
- Fax
- (515) 358-0109
- NPI assigned
- Sep 30, 2005
- Last updated
- Feb 16, 2021
- 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 | 001440 | IA | Primary |
Addresses
Primary practice location
1111 - 6TH Ave - East Tower
Suite B1
Des Moines, IA 50314-2613
Mailing address
PO Box 4925
Des Moines, IA 50305-4925
Phone (515) 358-0100
Other practice location 1
1410 SW Tradition Dr Ste 110
Ankeny, IA 50023-9188
Phone (515) 875-9696
Other practice location 2
3815 Stange Rd
Ames, IA 50010-3914
Phone (515) 956-4044
Other practice location 3
2591 Holiday Rd
Coralville, IA 52241-3039
Phone (319) 356-3335
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jsmolik101640@directmcfarlandclinic.com | Health Information Exchange (HIE) |
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, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 Westown Pkwy
Suite 107
West Des Moines, IA 50265-1540
Phone (515) 223-8622
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001440 | IA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Physicians Clinic Medical Foundation | Physician Assistant | Current | Accepting new patients |
| Iowa Physicians Clinic Medical Foundation | Current | Accepting new patients | |
| Boone County Hospital | Past | Accepting new patients | |
| Core Physical Therapy Inc | Past | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121
1111 6th Ave
Ste B1
Des Moines, IA 50314
Phone (515) 358-0100
800 S Fillmore St
Osceola, IA 50213
Phone (641) 342-2184
800 S Fillmore St
Rm D120
Osceola, IA 50213
Phone (641) 342-5000
1005 Pennsylvania Ave
Ste 102A
Ottumwa, IA 52501
Phone (641) 684-2589
Organizations & group practices 6
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.
-
- Allergy & Immunology Physician
- West Des Moines, IA
- NPI 1285627430
-
dba UnityPoint Clinic
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
-
- Clinic/Center
- Des Moines, IA
- NPI 1790422095
-
dba Unitypoint Clinic Family Medicine - Anthon
- Rural Health Clinic/Center
- Anthon, IA
- NPI 1053203927
Physician Assistant
-
- Critical Access Hospital
- Boone, IA
- NPI 1467434225
-
- Physical Therapist
- West Des Moines, IA
- NPI 1609820133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613433600000",
"number": "1295722791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4925",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503054925",
"telephone_number": "515-358-0100",
"fax_number": "515-358-0109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 - 6TH AVE - EAST TOWER",
"address_2": "SUITE B1",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503142613",
"telephone_number": "515-358-0100",
"fax_number": "515-358-0109"
}
],
"practiceLocations": [
{
"address_1": "1410 SW Tradition Dr Ste 110",
"address_purpose": "LOCATION",
"city": "Ankeny",
"state": "IA",
"postal_code": "500239188",
"country_code": "US",
"telephone_number": "515-875-9696",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3815 Stange Rd",
"address_purpose": "LOCATION",
"city": "Ames",
"state": "IA",
"postal_code": "500103914",
"country_code": "US",
"telephone_number": "515-956-4044",
"fax_number": "515-956-4075",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2591 Holiday Rd",
"address_purpose": "LOCATION",
"city": "Coralville",
"state": "IA",
"postal_code": "522413039",
"country_code": "US",
"telephone_number": "319-356-3335",
"fax_number": "319-467-7181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMOLIK",
"first_name": "JAIME",
"middle_name": "RAE",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-30",
"last_updated": "2021-02-16",
"certification_date": "2021-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "001440",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jsmolik101640@directmcfarlandclinic.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "3815 Stange Rd",
"city": "Ames",
"state": "IA",
"country_code": "US",
"postal_code": "500103914",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Feb 16, 2021; 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.