Active NPI
Amanda Grace Owens
- Physician Assistant
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 110686
- Practice address
- 1215 Pleasant St Ste 608
Des Moines, IA 50309-1418 - Phone
- (515) 875-9560
- Fax
- (515) 875-9561
- NPI assigned
- Mar 3, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 110686 | IA | Primary |
Addresses
Primary practice location
1215 Pleasant St Ste 608
Des Moines, IA 50309-1418
Mailing address
PO Box 424
Des Moines, IA 50302-0424
Phone (515) 875-9255
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
- Des Moines University of Osteopathic Medicine and Health Sciences, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1005 Pennsylvania Ave
Suite 102a
Ottumwa, IA 52501-6408
Phone (641) 684-2589
1200 Pleasant St
Des Moines, IA 50309-1406
Phone (515) 241-6212
1215 Pleasant St
Des Moines, IA 50309-1418
Phone (515) 875-9100
Hospital & facility affiliations
- Unitypoint Health - Des Moines Iowa Methodist Medi
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110686 | IA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| The Iowa Clinic PC | Current | Accepting new patients | |
| The Iowa Clinic, PC | Current | Accepting new patients |
Locations
1215 Pleasant St
Ste 608
Des Moines, IA 50309
Phone (515) 241-5760
1215 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5715
3200 Grand Ave
Des Moines, IA 50312
Phone (515) 271-1700
1005 Pennsylvania Ave
Ste 102A
Ottumwa, IA 52501
Phone (641) 684-2589
7147 Vista Dr
Ste 150
West Des Moines, IA 50266
Phone (515) 875-9255
Interoperability endpoints
- amandaowens@tic.allscriptsdirect.net
- aowens665088@direct.unitypoint.org
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.
-
- Family Medicine Physician
- West Des Moines, IA
- NPI 1346233178
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Durable Medical Equipment & Medical Supplies
- West Des Moines, IA
- NPI 1871451328
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1356433049
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1396837951
-
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1598905762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704931200000",
"number": "1609400324",
"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": "515-875-9255",
"fax_number": "515-875-9223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 PLEASANT ST STE 608",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091418",
"telephone_number": "515-875-9560",
"fax_number": "515-875-9561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "AMANDA",
"middle_name": "GRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-03",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "110686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.