Alecia L Raymer, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1243 Issued in NE

Practice address

411 Laurel St Ste A300
Des Moines, IA 50314-3030

Phone

(515) 282-2921

NPI assigned

Feb 28, 2007

Sex

Female

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 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: araymer@moha.oncoemrdirect.com

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.

• Skin Specialists PC

  • Ambulatory Surgical Clinic/Center
  • Omaha, NE
  • NPI 1306843081
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1700914264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 LAUREL ST STE A300",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143030",
            "telephone_number": "515-282-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LAUREL ST STE A300",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143030",
            "telephone_number": "515-282-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMER",
        "first_name": "ALECIA",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1243",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "araymer@MOHA.OncoEMRDirect.com",
            "affiliation": "N",
            "address_1": "411 Laurel St Ste A300",
            "city": "Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "503143030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rastetter Dental PC
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• Michael Rayalu, MD
• John Wesley Rayburn, MD
• Tony James Raymer, LISW, RPT-S
• Laurie Raymond, LISW
• Abdul A Razak, LPN
• RCG Mercy Des Moines, LLC
• RCG Mercy Des Moines, LLC

• All providers in Des Moines, IA
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.