Active NPI
Kara L Gollon, PA-C
- Physician Assistant
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 131762
- Practice address
- 500 E Court Ave Ste 314
Des Moines, IA 50309-2057 - Phone
- (515) 282-6067
- NPI assigned
- Oct 5, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-09906 | NC | |
| Surgical Physician Assistant | 363AS0400X | 085006746 | IL | |
| Physician Assistant | 363A00000X | 131762 | IA | Primary |
Addresses
Primary practice location
500 E Court Ave Ste 314
Des Moines, IA 50309-2057
Mailing address
500 E Court Ave Ste 314
Des Moines, IA 50309-2057
Phone (515) 282-6067
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Southern Illinois University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1755 59TH PL
West Des Moines, IA 50266-7737
Phone (515) 218-1399
500 E Court Ave
Des Moines, IA 50309-2057
Phone (515) 282-6067
715 Main St
Pella, IA 50219-1620
Phone (515) 282-6067
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 131762 | IA | MD | Physician Assistant |
| 0010-09906 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Center of Illinois | Past | Accepting new patients |
Interoperability endpoints
- klp003@oci2123.srs-direct.com
Organizations & group practices 2
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.
-
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- NPI 1174976948
-
- Durable Medical Equipment & Medical Supplies
- Springfield, IL
- NPI 1144372798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1447725478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 E COURT AVE STE 314",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503092057",
"telephone_number": "515-282-6067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E COURT AVE STE 314",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503092057",
"telephone_number": "515-282-6067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLLON",
"first_name": "KARA",
"middle_name": "L",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-05",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-09906",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "IL",
"license": "085006746",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "131762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.