NPIMap

Individual provider Active NPI

Angela Conley, PA-C

  • Physician Assistant
  • Urbandale, IA
National Provider Identifier
1407376734
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
088105 Issued in IA
Practice address
4005 NW Urbandale Dr
Urbandale, IA 50322-7914
Phone
(515) 643-9500
Fax
(515) 643-9525
NPI assigned
Jun 27, 2017
Last updated
Aug 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 088105 IA Primary

Addresses

Primary practice location

4005 NW Urbandale Dr
Urbandale, IA 50322-7914

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180104001657 IA Practitioner - Physician Assistant 4789943390 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinics IncGroup PAC ID 7911810882, 441 clinicians

Practice addresses (Care Compare)

1601 NW 114TH St
Clive, IA 50325-7036

2006 N 4TH St
Indianola, IA 50125-4500

4003 NW Urbandale Dr
Mercyone Geriatrics Care
Urbandale, IA 50322-7914
Phone (515) 237-3985

4005 NW Urbandale Dr
Urbandale, IA 50322-7914

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
088105IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Orthopaedic Center, P.C. Physician Assistant CurrentSince Nov 15, 2017 Accepting new patients
Mercy Clinics, Inc. CurrentSince Aug 14, 2023 Accepting new patients
Mercy Clinics, Inc CurrentSince Aug 14, 2023 Accepting new patients
Iowa Orthopaedic Center, P.C. CurrentSince Nov 15, 2017 Accepting new patients
Mercy Clinics, Inc. Physician Assistant Past Accepting new patients

Locations

1601 NW 114th St
Ste 342
Clive, IA 50325
Phone (515) 222-7600

330 Laurel St
Ste 1200
Des Moines, IA 50314
Phone (515) 643-5454

405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259

450 Laurel St
Ste A
Des Moines, IA 50314
Phone 5152478400321

450 Laurel St
Ste C
Des Moines, IA 50314
Phone (515) 247-9590

4005 NW Urbandale Dr
Urbandale, IA 50322
Phone (515) 643-9200

Interoperability endpoints

  • Direct secure messaging: aconley4030464@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1407376734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-643-9500",
            "fax_number": "515-643-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 NW URBANDALE DR",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503227914",
            "telephone_number": "515-643-9500",
            "fax_number": "515-643-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "ANGELA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "088105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

Verify at the official NPI Registry.