Individual provider Active NPI

Heather L Jeffords, PA-C

  • Physician Assistant
  • Centerville, IA
National Provider Identifier
1699755785
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001428 Issued in IA
Practice address
1208 E Cross St
Centerville, IA 52544-3501
Phone
(319) 666-4224
Fax
(877) 384-3106
NPI assigned
Jan 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 001428 IA
Physician Assistant 363A00000X 001428 IA Primary

Addresses

Primary practice location

1208 E Cross St
Centerville, IA 52544-3501

Mailing address

245 19TH St SW
Altoona, IA 50009-5806
Phone (515) 336-1345

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
I20070822000860 IA Practitioner - Physician Assistant 8921190919 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Geriatric ServicesGroup PAC ID 4587887088, 36 clinicians

Practice addresses (Care Compare)

1401 50TH St
Suite 100
West Des Moines, IA 50266-5924
Phone (515) 225-7132

4911 SW 19TH St
Fleur Heights Care Center
Des Moines, IA 50315-4484
Phone (515) 285-2559

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001428IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffords Medical Consulting CurrentSince Jan 2, 2022 Accepting new patients
Mercyone Urgentcare CurrentSince Nov 14, 2022 Accepting new patients
Boone County Family Medicine TR Past Accepting new patients
Boone County Hospital Past Accepting new patients
Boone County Hospital Past Accepting new patients
Boone County Hospital Past Accepting new patients
Madrid Family Practice Clinic Past Accepting new patients

Locations

2400 Lillian Way
Clinton, IA 52732
Phone (563) 243-1200

6601 SW 9th St
Ste 3
Des Moines, IA 50315
Phone (515) 461-9786

Organizations & group practices 12

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1699755785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 19TH ST SW",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500095806",
            "telephone_number": "515-336-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 E CROSS ST",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525443501",
            "telephone_number": "319-666-4224",
            "fax_number": "877-384-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFORDS",
        "first_name": "HEATHER",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "001428",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, IA

Sources for this page

Verify at the official NPI Registry.