Douglas L Grossmann, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001252 Issued in IA

Practice address

1000 Lincoln Cir SE
Suite 100
Orange City, IA 51041-1862

Phone

(712) 737-2000

Fax

(712) 737-2115

NPI assigned

Dec 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 11

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

Merit-based Incentive Payment System (MIPS)

Final score

76.84 of 100Reported as group

Quality

86.15

Promoting interoperability

100

Improvement activities

40

Cost

36.65

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Orange City Municipal Hospital

  • Critical Access Hospital
  • Orange City, IA
  • NPI 1700856796
  Medicare reassignment NPD
• Orange City Municipal Hospital

  • Specialist
  • Orange City, IA
  • NPI 1265479323
  Medicare reassignment
• Orange City Municipal Hospital

  • Skilled Nursing Facility
  • Orange City, IA
  • NPI 1013987007
  NPD
• Orange City Municipal Hospital

  • Family Medicine Physician
  • Orange City, IA
  • NPI 1962477992

  Physician Assistant

  NPD

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1679550727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LINCOLN CIR SE",
            "address_2": "SUITE 100",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411862",
            "telephone_number": "712-737-2000",
            "fax_number": "712-737-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LINCOLN CIR SE",
            "address_2": "SUITE 100",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411862",
            "telephone_number": "712-737-2000",
            "fax_number": "712-737-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMANN",
        "first_name": "DOUGLAS",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "0117548",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WPS TRICARE",
            "identifier": "42603840551401",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH CARE",
            "identifier": "P05392",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICUT GENERAL",
            "identifier": "426038405",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "426038405",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0117548",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EQUITABLE LIFE & CASUALTY",
            "identifier": "426038405",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "703361027754",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012815",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIOUX VALLEY HEALTH PLAN",
            "identifier": "10014",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "238209",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Goslinga, ARNP
• Meghan Grassel, MD
• Gina A Greene, ATC
• Jordan Grosdidier
• Jonathan Groskreutz, PT
• Jonathan C Grossmann, M.D.
• Jameson Guthmiller, M.D.
• Katherine Marie Hafner
• Hannah Marie Hall
• Harrison H Hanson, MD

• Physician Assistant in Orange City, IA
• Providers in Orange City, IA by specialty
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.

Verify at the official NPI Registry.