Individual provider Active NPI

Ellen R Collins, PA-C

  • Physician Assistant
  • Iowa City, IA
National Provider Identifier
1427091362
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
01304 Issued in IA
Practice address
4189 Westlawn S
Iowa City, IA 52242
Phone
(319) 335-8370
Fax
(319) 335-7247
NPI assigned
Jun 14, 2006
Last updated
Jul 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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 01304 IA Primary

Addresses

Primary practice location

4189 Westlawn S
Iowa City, IA 52242

Mailing address

4189 Westlawn S
Iowa City, IA 52242-1100
Phone (319) 335-8370

Other practice location 1

206 Cookson Dr
West Branch, IA 52358-9632
Phone (319) 643-2516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001304IAMDPsychologist
01304IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Services Iowa City, Inc. Current Accepting new patients

Locations

269 N 1st Ave
Iowa City, IA 52245
Phone (319) 339-3541

56 Cedar St
Tipton, IA 52772
Phone (319) 886-2195

206 Cookson Dr
West Branch, IA 52358
Phone (319) 643-2516

Interoperability endpoints

  • Direct secure messaging: ecollins143850@uihcdirect.org

Organizations & group practices 1

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1427091362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4189 WESTLAWN S",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421100",
            "telephone_number": "319-335-8370",
            "fax_number": "319-335-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4189 WESTLAWN S",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52242",
            "telephone_number": "319-335-8370",
            "fax_number": "319-335-7247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 Cookson Dr",
            "address_purpose": "LOCATION",
            "city": "West Branch",
            "state": "IA",
            "postal_code": "523589632",
            "country_code": "US",
            "telephone_number": "319-643-2516",
            "fax_number": "319-643-5720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "ELLEN",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "01304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.