Individual provider Active NPI

Karlee Kay Carlin

  • Physician Assistant
  • Urbandale, IA
National Provider Identifier
1679106801
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
110489 Issued in IA
Practice address
10574 Justin Dr
Urbandale, IA 50322-3730
Phone
(515) 499-4959
Fax
(515) 870-2223
NPI assigned
Feb 17, 2020
Last updated
Feb 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 110489 IA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

10574 Justin Dr
Urbandale, IA 50322-3730

Mailing address

1601 E Franklin Ave
Indianola, IA 50125-1570
Phone (641) 757-9429

Other names 1

  • Karlee Kay Johnk Former name

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
I20211124001420 IA Practitioner - Physician Assistant 4587054044 Reassigns benefits to 1 organization

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
Primary Health Care IncGroup PAC ID 8426966755, 72 clinicians

Practice addresses (Care Compare)

2353 SE 14TH St
Des Moines, IA 50320-1109
Phone (515) 248-1400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110489IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Care, Inc. CurrentSince Nov 29, 2021 Accepting new patients
Primary Health Care, Inc. CurrentSince Nov 29, 2021 Accepting new patients
Primary Health Care, Inc. Past Accepting new patients

Locations

1200 University Ave
Ste 200
Des Moines, IA 50314
Phone (515) 248-1447

2353 SE 14th St
Des Moines, IA 50320
Phone (515) 248-1400

3509 E 29th St
Des Moines, IA 50317
Phone (515) 248-1600

Interoperability endpoints

  • Direct secure messaging: kjohnk638499@direct.ochin.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1679106801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E FRANKLIN AVE",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501251570",
            "telephone_number": "641-757-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10574 JUSTIN DR",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223730",
            "telephone_number": "515-499-4959",
            "fax_number": "515-870-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLIN",
        "first_name": "KARLEE",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "110489",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARLEE",
            "last_name": "JOHNK",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Urbandale, IA

Sources for this page

Verify at the official NPI Registry.