Individual provider Active NPI

Rachae A Jensen, PA-C

  • Medical Physician Assistant
  • Cedar Rapids, IA
National Provider Identifier
1407024037
Registry record updated Feb 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
001853 Issued in IA
Practice address
3500 Mount Vernon Rd SE
Cedar Rapids, IA 52403-3864
Phone
(319) 363-0474
Fax
(319) 363-2170
NPI assigned
Feb 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 001853 IA Primary

Addresses

Primary practice location

3500 Mount Vernon Rd SE
Cedar Rapids, IA 52403-3864

Mailing address

3500 Mount Vernon Rd SE
Cedar Rapids, IA 52403-3864
Phone (319) 363-0474

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
I20110902000011 IA Practitioner - Physician Assistant 1456521376 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Clinic of Iowa PCGroup PAC ID 9436143542, 10 clinicians

Practice addresses (Care Compare)

1815 1St Ave SE
Cedar Rapids, IA 52402-5417
Phone (319) 363-0474

Merit-based Incentive Payment System (MIPS)

Final score
92.15 of 100Reported as group
Quality
94.02
Promoting interoperability
98
Improvement activities
40
Cost
81.47

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberly K. Schulz Current Accepting new patients

Locations

1100 6th St
Ste 202
Coralville, IA 52241
Phone (319) 337-4566

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": "1203206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203206400000",
    "number": "1407024037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 MOUNT VERNON RD SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524033864",
            "telephone_number": "319-363-0474",
            "fax_number": "319-363-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 MOUNT VERNON RD SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524033864",
            "telephone_number": "319-363-0474",
            "fax_number": "319-363-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "RACHAE",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-17",
        "last_updated": "2008-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "001853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.