NPIMap

Individual provider Active NPI

Gregory Scott Vanpeursem, PA-C

  • Physician Assistant
  • Rock Valley, IA
National Provider Identifier
1548253438
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001397 Issued in IA
Practice address
2121 Hegg Dr
Rock Valley, IA 51247-1445
Phone
(712) 476-8100
Fax
(712) 476-8190
NPI assigned
Aug 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 001397 IA Primary

Addresses

Primary practice location

2121 Hegg Dr
Rock Valley, IA 51247-1445

Mailing address

2121 Hegg Dr
Rock Valley, IA 51247-1445
Phone (712) 476-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080520000215 IA Practitioner - Physician Assistant 8921177791 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hegg Memorial HospitalGroup PAC ID 5193718757, 44 clinicians

Practice addresses (Care Compare)

1202 21St Ave
Rock Valley, IA 51247-1420
Phone (712) 476-8000

2121 Hegg Dr
Rock Valley, IA 51247-1445
Phone (712) 476-8100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.27 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.27 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
648NEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hegg Memorial Hospital Current Accepting new patients
Hegg Memorial Hospital CurrentSince Jan 1, 2008 Accepting new patients
Alegent Creighton Clinic Past Accepting new patients

Locations

309 Railroad St
Hull, IA 51239
Phone (712) 439-2758

1202 21st Ave
Rock Valley, IA 51247
Phone (712) 476-8000

Interoperability endpoints

  • Direct secure messaging: greg.vanpeursem@avera.sdhealthlink.net

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 28

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 28

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1548253438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 HEGG DR",
            "city": "ROCK VALLEY",
            "state": "IA",
            "postal_code": "512471445",
            "telephone_number": "712-476-8100",
            "fax_number": "712-476-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 HEGG DR",
            "city": "ROCK VALLEY",
            "state": "IA",
            "postal_code": "512471445",
            "telephone_number": "712-476-8100",
            "fax_number": "712-476-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANPEURSEM",
        "first_name": "GREGORY",
        "middle_name": "SCOTT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Valley, IA

Sources for this page

Verify at the official NPI Registry.