Individual provider Active NPI

Kara L Gollon, PA-C

  • Physician Assistant
  • Des Moines, IA
National Provider Identifier
1447725478
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
131762 Issued in IA
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

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250926000835 IA Practitioner - Physician Assistant 1557614849 Reassigns benefits to 1 organization

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
Justin J Raatz, DPM PLLCGroup PAC ID 6002102365, 5 clinicians

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

LicenseStateTypeSpecialty
131762IAMDPhysician Assistant
0010-09906NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Center of Illinois Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.