NPIMap

Individual provider Active NPI

Kasey M Herbers, PA-C

  • Physician Assistant
  • Grinnell, IA
National Provider Identifier
1568445823
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001467 Issued in IA
Practice address
122 4TH Avenue
Grinnell, IA 50112
Phone
(641) 236-4323
Fax
(641) 236-0680
NPI assigned
Nov 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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 001467 IA Primary

Addresses

Primary practice location

122 4TH Avenue
Grinnell, IA 50112

Mailing address

122 4TH Avenue
Grinnell, IA 50112
Phone (641) 236-4323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brian J. Heineman, D.O. Past Accepting new patients
Marengo Memorial Hospital Physician Assistant Past Accepting new patients
Grinnell Regional Medical Center Physician Assistant Past Accepting new patients
Grinnell Regional Medical Center Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1568445823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 4TH AVENUE",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "50112",
            "telephone_number": "641-236-4323",
            "fax_number": "641-236-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 4TH AVENUE",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "50112",
            "telephone_number": "641-236-4323",
            "fax_number": "641-236-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBERS",
        "first_name": "KASEY",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grinnell, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.