Active NPI
Malea a Jensen DO PLLC
Doing business as Center Stage Primary Care
- Family Medicine Physician
- West Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 03029
- Legal business name
- MALEA A JENSEN DO PLLC
- Doing business as
- Center Stage Primary Care
- Practice address
- 1000 73Rd St Ste 23
West Des Moines, IA 50265-1321 - Phone
- (515) 267-1961
- Fax
- (515) 225-4427
- NPI assigned
- Oct 11, 2012
- Last updated
- Mar 19, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Malea Ann Jensen, DO
- Title
- President
- Phone
- (515) 267-1961
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 03029 | IA | Primary |
Addresses
Primary practice location
1000 73Rd St Ste 23
West Des Moines, IA 50265-1321
Mailing address
1000 73Rd St Ste 23
West Des Moines, IA 50265-1321
Phone (515) 267-1961
Other names 1
- CENTER STAGE PRIMARY CARE
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D2053517 | Center Stage Primary Care | Certificate of waiver | Jan 31, 2027 |
National Provider Directory
National Provider DirectoryLocations
1000 73rd St
West Des Moines, IA 50265
Phone (515) 223-7177
1000 73rd St
Ste 23
West Des Moines, IA 50265
Phone (515) 267-1961
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- West Des Moines, IA
- NPI 1740241942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616112000000",
"number": "1427300623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 73RD ST STE 23",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502651321",
"telephone_number": "515-267-1961",
"fax_number": "515-225-4427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 73RD ST STE 23",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502651321",
"telephone_number": "515-267-1961",
"fax_number": "515-225-4427"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MALEA A JENSEN DO PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-11",
"last_updated": "2021-03-19",
"certification_date": "2021-03-19",
"status": "A",
"authorized_official_last_name": "JENSEN",
"authorized_official_first_name": "MALEA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "515-267-1961",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "03029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CENTER STAGE PRIMARY CARE",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CENTER STAGE PRIMARY CARE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.