Active NPI
Jennifer L Wadle, PA-C
- Medical Physician Assistant
- Pella, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 01311
- Practice address
- 405 Monroe St
Pella, IA 50219-1189 - Phone
- (641) 628-3832
- Fax
- (641) 628-8894
- NPI assigned
- Mar 9, 2006
- Last updated
- Oct 15, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 01311 | IA | Primary |
Addresses
Primary practice location
405 Monroe St
Pella, IA 50219-1189
Mailing address
405 Monroe St
Pella, IA 50219-1189
Phone (641) 628-3832
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 970015906 | Other | IA | RAILROAD MEDICARE |
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
- University College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pella Regional Health Center
Practice addresses (Care Compare)
405 Monroe St
Pella, IA 50219-1189
Phone (641) 628-3832
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.84 of 100
- Quality
- 91.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01311 | IA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pella Regional Health Center | Current | Accepting new patients | |
| Pella Regional Health Center | Current | Accepting new patients |
Locations
405 Monroe St
Pella, IA 50219
Phone (641) 621-2200
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.
-
dba Pella Medical Clinic
- Multi-Specialty Clinic/Center
- Pella, IA
- NPI 1053369405
-
- Critical Access Hospital
- Pella, IA
- NPI 1578520888
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Pella, IA
- NPI 1578520888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192406400000",
"number": "1558339267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 MONROE ST",
"city": "PELLA",
"state": "IA",
"postal_code": "502191189",
"telephone_number": "641-628-3832",
"fax_number": "641-628-8894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 MONROE ST",
"city": "PELLA",
"state": "IA",
"postal_code": "502191189",
"telephone_number": "641-628-3832",
"fax_number": "641-628-8894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADLE",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-09",
"last_updated": "2007-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IA",
"license": "01311",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "970015906",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pella, IA
- Dennis Duane Vogel, PT
- Sarah Christine Vogel
- Suzanne Vonseggern, RPH
- Connie Louise Vos, PTA
- Libbie Nichole Vos, MS, CCC-SLP
- Walgreen Co. (Vermeer Family Pharmacy)
- Walgreen Co. (Pella Corporation Pharmacy)
- Wallips Dialysis, LLC (Pella Dialysis)
- Walmart Inc. (Walmart Pharmacy 10-0751)
- Michael Gary Walsh, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.