NPIMap

Individual provider Active NPI

Jill Johnson, PA-C

  • Physician Assistant
  • Ames, IA
National Provider Identifier
1720414006
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002345 Issued in IA
Practice address
2521 University Blvd Ste 121
Ames, IA 50010-8629
Phone
(515) 241-0982
NPI assigned
Sep 18, 2013
Last updated
Jan 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 002345 IA Primary

Addresses

Primary practice location

2521 University Blvd Ste 121
Ames, IA 50010-8629

Mailing address

1301 Penn Ave
Des Moines, IA 50316-2350

Other practice location 1

1301 Penn Ave
Des Moines, IA 50316-2350
Phone (515) 263-5000

Other identifiers 1

IdentifierTypeStateIssuer
P01353134OtherIARR MEDICARE

Other names 1

  • Jill Nesset Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140529000369 IA Practitioner - Physician Assistant 2365665924 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Iowa Hospital CorporationGroup PAC ID 1052229275, 233 clinicians

Practice addresses (Care Compare)

State Center, IA 50247
Phone (515) 241-0982

1301 Ctr St
Des Moines, IA 50309-1004
Phone (515) 243-5181

2521 University Blvd
Suite 121
Ames, IA 50010-8629
Phone (515) 598-3300

6000 University Ave
West Des Moines, IA 50266-8201

700 E Uinversity Ave
Des Moines, IA 50316-2302

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002345IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Hospital Corporation CurrentSince Oct 1, 2025 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Central Iowa Hospital Corporation Physician Assistant CurrentSince Oct 1, 2025 Accepting new patients
Eyerly Ball Community Mental Health Services Past Accepting new patients

Locations

700 E University Ave
Des Moines, IA 50316
Phone (515) 263-5120

Interoperability endpoints

  • Direct secure messaging: jnesset200774@direct.unitypoint.org

Organizations & group practices 5

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.

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": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1720414006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PENN AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503162350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 UNIVERSITY BLVD STE 121",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500108629",
            "telephone_number": "515-241-0982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Penn Ave",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503162350",
            "country_code": "US",
            "telephone_number": "515-263-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JILL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-18",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "002345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01353134",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "NESSET",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ames, IA

Sources for this page

Verify at the official NPI Registry.