Individual provider Active NPI

Krista A Webb, PA

  • Physician Assistant
  • Des Moines, IA
National Provider Identifier
1447226972
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001418 Issued in IA
Practice address
4326 Hickman Rd
Ste. 100
Des Moines, IA 50310-3333
Phone
(515) 271-6333
Fax
(515) 271-6175
NPI assigned
Feb 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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 001418 IA Primary

Addresses

Primary practice location

4326 Hickman Rd
Ste. 100
Des Moines, IA 50310-3333

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 271-6333

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
I20100503000406 IA Practitioner - Physician Assistant 0042348682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinics IncGroup PAC ID 7911810882, 441 clinicians

Practice addresses (Care Compare)

330 Laurel St
Suite 1200
Des Moines, IA 50314-3044
Phone (515) 643-6290

4326 Hickman Rd
Suite 100
Des Moines, IA 50310-3302
Phone (515) 271-6333

800 E 1St St
Ankeny, IA 50021-2077

Hospital & facility affiliations

  • Mercyone Des Moines Medical Center Hospital, Des Moines, IA, CCN 160083

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001418IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinics, Inc. CurrentSince Aug 13, 2012 Accepting new patients
Mercy Clinics, Inc CurrentSince Aug 13, 2012 Accepting new patients
Boone County Hospital Past Accepting new patients

Locations

1750 48th St
Ste 100A
Des Moines, IA 50310
Phone (515) 271-6333

1601 NW 114th St
Ste 247
Des Moines, IA 50325
Phone (515) 222-7000

4326 Hickman Rd
Ste 100
Des Moines, IA 50310
Phone (515) 271-6333

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

6200 Aurora Ave
Ste 100W
Urbandale, IA 50322
Phone (515) 270-1177

119 19th St
Ste 106
West Des Moines, IA 50265
Phone (515) 226-0112

555 S 51st St
West Des Moines, IA 50265
Phone (515) 221-2751

Interoperability endpoints

  • Direct secure messaging: kwebb3960671@direct.trinity-health.org

Organizations & group practices 4

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 4

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": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1447226972",
    "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": "515-271-6333",
            "fax_number": "515-271-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4326 HICKMAN RD",
            "address_2": "STE. 100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503103333",
            "telephone_number": "515-271-6333",
            "fax_number": "515-271-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "KRISTA",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.