Individual provider Active NPI

Phaedra Lipsey, OD

  • Optometrist
  • Ames, IA
National Provider Identifier
1356046254
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
125706 Issued in IA
Practice address
1128 Duff Ave
Ames, IA 50010-5776
Phone
(515) 239-4460
NPI assigned
Apr 3, 2023
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 125706 IA Primary

Addresses

Primary practice location

1128 Duff Ave
Ames, IA 50010-5776

Mailing address

2204 Van Buren Ave
Ames, IA 50010-4519

Other practice location 1

3500 University Blvd Ste 101
Ames, IA 50010-8677
Phone (515) 239-3020

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL plipsey116843@directmcfarlandclinic.com

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240707000154 IA Practitioner - Optometry 1456895093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McFarland Clinic PCGroup PAC ID 1254244239, 353 clinicians

Practice addresses (Care Compare)

1128 Duff Ave
Ames, IA 50010-5776
Phone (515) 239-4460

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
125706IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
McFarland Clinic PC CurrentSince Aug 26, 2024 Accepting new patients
McFarland Clinic, PC Optometrist Past Accepting new patients
McFarland Clinic, PC Optometrist PastSince Aug 25, 2024 Accepting new patients

Locations

1128 Duff Ave
Ames, IA 50010
Phone (515) 239-4460

1215 Duff Ave
Ames, IA 50010
Phone (515) 239-4400

3500 University Blvd
Ste 101
Ames, IA 50010
Phone (515) 239-3020

Interoperability endpoints

  • Direct secure messaging: phaedra.lipsey.p1@direct.cei.nextgenshare.com
  • Direct secure messaging: plipsey116843@directmcfarlandclinic.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1356046254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 VAN BUREN AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500104519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 DUFF AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105776",
            "telephone_number": "515-239-4460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 University Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Ames",
            "state": "IA",
            "postal_code": "500108677",
            "country_code": "US",
            "telephone_number": "515-239-3020",
            "fax_number": "515-239-3025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIPSEY",
        "first_name": "PHAEDRA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "125706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "plipsey116843@directmcfarlandclinic.com",
            "affiliation": "N",
            "address_1": "1128 Duff Ave",
            "city": "Ames",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500105776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

Verify at the official NPI Registry.