Individual provider Active NPI

Michelle Hauger Kurtz, P.A.-C.

  • Physician Assistant
  • West Des Moines, IA
National Provider Identifier
1487656039
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
01341 Issued in IA
Practice address
5950 University Ave Ste 105
West Des Moines, IA 50266-7756
Phone
(515) 875-9070
Fax
(515) 875-9071
NPI assigned
Aug 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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 01341 IA Primary

Addresses

Primary practice location

5950 University Ave Ste 105
West Des Moines, IA 50266-7756

Mailing address

PO Box 424
Des Moines, IA 50302-0424
Phone (515) 875-9925

Other practice location 1

4850 100th St
Urbandale, IA 50322-7212
Phone (515) 224-1414

Other practice location 2

350 NE 36th St
Ankeny, IA 50021-6728
Phone (515) 224-1414

Other names 1

  • Michelle Renee Hauger Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michellekurtz@tic.allscriptsdirect.net Direct

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
I20100817001647 IA Practitioner - Physician Assistant 4688708225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

350 NE 36TH St
Ankeny, IA 50021-6728
Phone (515) 224-1414

4850 100TH St
Urbandale, IA 50322-7212
Phone (515) 224-1414

6001 Westown Pkwy
West Des Moines, IA 50266-7702
Phone (515) 224-1414

6001 Westown Pkwy
West Des Moines, IA 50266-7719

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01341IAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Des Moines Orthopaedic Surgeons PC Physician Assistant CurrentSince Nov 13, 2024 Accepting new patients
Des Moines Orthopaedic Surgeons PC CurrentSince Nov 13, 2024 Accepting new patients
Boone County Hospital Past Accepting new patients

Locations

350 NE 36th St
Ankeny, IA 50021
Phone (515) 224-1414

4850 100th St
Urbandale, IA 50322
Phone (515) 224-1414

5950 University Ave
Ste 105
West Des Moines, IA 50266
Phone (515) 875-9070

6001 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 224-1414

Organizations & group practices 3

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 3

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1487656039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 424",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503020424",
            "telephone_number": "515-875-9925",
            "fax_number": "515-875-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 UNIVERSITY AVE STE 105",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667756",
            "telephone_number": "515-875-9070",
            "fax_number": "515-875-9071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4850 100th St",
            "address_purpose": "LOCATION",
            "city": "Urbandale",
            "state": "IA",
            "postal_code": "503227212",
            "country_code": "US",
            "telephone_number": "515-224-1414",
            "fax_number": "515-224-5140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 NE 36th St",
            "address_purpose": "LOCATION",
            "city": "Ankeny",
            "state": "IA",
            "postal_code": "500216728",
            "country_code": "US",
            "telephone_number": "515-224-1414",
            "fax_number": "515-224-5140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURTZ",
        "first_name": "MICHELLE",
        "middle_name": "HAUGER",
        "name_prefix": "Ms.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "01341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michellekurtz@tic.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5950 University Ave",
            "address_2": "Ste 105",
            "city": "West Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "50266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "HAUGER",
            "middle_name": "RENEE",
            "credential": "P.A.-C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.