NPIMap

Individual provider Active NPI

Jody Marie Surber, PA-C

  • Physician Assistant
  • Spencer, IA
National Provider Identifier
1407817794
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001529 Issued in IA
Practice address
1200 1St Ave E
Ste C
Spencer, IA 51301-4342
Phone
(712) 262-7511
Fax
(712) 262-3658
NPI assigned
Mar 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001529 IA Primary

Addresses

Primary practice location

1200 1St Ave E
Ste C
Spencer, IA 51301-4342

Mailing address

1200 1St Ave E
Ste C
Spencer, IA 51301-4342
Phone (712) 262-7511

Other names 1

  • Miss Jody Marie Vulk Former name

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
I20040129000035 IA Practitioner - Physician Assistant 1759284672 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spencer Municipal HospitalGroup PAC ID 4183533060, 95 clinicians
Lakes Regional HealthcareGroup PAC ID 0941118442, 37 clinicians

Practice addresses (Care Compare)

1200 1St Ave E
Spencer, IA 51301-4330

1200 1St Ave E
Spencer, IA 51301-4342
Phone (712) 264-6198

1200 1St Ave E C
Nwia Bone Joint and Sports Surgeons
Spencer, IA 51301-4342
Phone (712) 262-7511

2301 Hwy 71
Spirit Lake, IA 51360-1184

2408 Zenith Ave
Suite E
Spirit Lake, IA 51360-1068
Phone (712) 336-1230

600 9TH Ave N
Sibley, IA 51249-1012
Phone (712) 336-8708

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spencer Municipal Hospital CurrentSince Jan 1, 2020 Accepting new patients
Lakes Regional Healthcare CurrentSince Jan 1, 2020 Accepting new patients
Buena Vista Regional Medical Center CurrentSince Oct 20, 2025 Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Buena Vista Regional Medical Center Physician Assistant CurrentSince Jan 1, 2020 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Spencer Municipal Hospital CurrentSince Jan 1, 2020 Accepting new patients
Lakes Regional Healthcare Past Accepting new patients
Spencer Municipal Hospital Past Accepting new patients

Locations

606 NW 7th St
Pocahontas, IA 50574
Phone (712) 335-3501

1200 1st Ave E
Ste C
Spencer, IA 51301
Phone (712) 262-7511

1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164

1525 W 5th St
Storm Lake, IA 50588
Phone (712) 732-4030

Interoperability endpoints

  • Direct secure messaging: jvulk158566@direct.unitypoint.org
  • Direct secure messaging: jodyvulk@nwiabonejo.allscriptsdirect.net

Organizations & group practices 11

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.

Hospital & facility affiliations 8

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1407817794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 1ST AVE E",
            "address_2": "STE C",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513014342",
            "telephone_number": "712-262-7511",
            "fax_number": "712-262-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 1ST AVE E",
            "address_2": "STE C",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513014342",
            "telephone_number": "712-262-7511",
            "fax_number": "712-262-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURBER",
        "first_name": "JODY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODY",
            "last_name": "VULK",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spencer, IA

Sources for this page

Verify at the official NPI Registry.