Individual provider Active NPI

Jennifer Lynn Vonbank, PA

  • Medical Physician Assistant
  • Bancroft, IA
National Provider Identifier
1720157928
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
001470 Issued in IA
Practice address
122 W Ramsey St
Bancroft, IA 50517-8078
Phone
(515) 885-2336
Fax
(515) 885-2639
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 001470 IA Primary

Addresses

Primary practice location

122 W Ramsey St
Bancroft, IA 50517-8078

Mailing address

122 W Ramsey St
Bancroft, IA 50517-8078
Phone (515) 885-2336

Other identifiers 2

IdentifierTypeStateIssuer
36897OtherIAWELLMARK
36898OtherIAWELLMARK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JenniferVonBank@komhn.cernerdirect.com Direct

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
I20040830000771 IA Practitioner - Physician Assistant 6800861238 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Kossuth Regional Health Center 21 clinicians

Practice addresses (Care Compare)

1515 S Phillips St
Algona, IA 50511-3649

1519 S Phillips St
Algona, IA 50511-3649

Hospital & facility affiliations

  • Community Health Services Home health agency, Algona, IA, CCN 167166
  • Kossuth Regional Health Center Hospital, Algona, IA, CCN 161353
  • Mercyone North Iowa Medical Center Hospital, Mason City, IA, CCN 160064

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001470IAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kossuth Regional Health Center CurrentSince Oct 22, 2022 Accepting new patients
Kossuth Regional Health Center Current Accepting new patients
Kossuth Regional Health Center Past Accepting new patients

Locations

1519 S Phillips St
Algona, IA 50511
Phone (515) 295-2451

122 W Ramsey St
Bancroft, IA 50517
Phone (515) 885-2336

Interoperability endpoints

  • Direct secure messaging: jennifervonbank@komhn.cernerdirect.com

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1720157928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W RAMSEY ST",
            "city": "BANCROFT",
            "state": "IA",
            "postal_code": "505178078",
            "telephone_number": "515-885-2336",
            "fax_number": "515-885-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W RAMSEY ST",
            "city": "BANCROFT",
            "state": "IA",
            "postal_code": "505178078",
            "telephone_number": "515-885-2336",
            "fax_number": "515-885-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONBANK",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "001470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "36897",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "36898",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JenniferVonBank@komhn.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Kossuth Regional Health Center Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "122 W Ramsey St",
            "city": "Bancroft",
            "state": "IA",
            "country_code": "US",
            "postal_code": "505178078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bancroft, IA

Sources for this page

Verify at the official NPI Registry.