Individual provider Active NPI

Malea Ann Jensen, DO

  • Family Medicine Physician
  • West Des Moines, IA
National Provider Identifier
1740241942
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
03029 Issued in IA
Practice address
1000 73Rd St Ste 23
West Des Moines, IA 50265-1321
Phone
(515) 267-1961
Fax
(515) 225-4427
NPI assigned
Mar 29, 2006
Last updated
Mar 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 03029 IA Primary

Addresses

Primary practice location

1000 73Rd St Ste 23
West Des Moines, IA 50265-1321

Mailing address

1000 73Rd St Ste 23
West Des Moines, IA 50265-1321
Phone (515) 267-1961

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090119000011 IA Practitioner - Family Practice 5395808380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
03029IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Clinic of Iowa, PC PastSince Jul 1, 1999 Accepting new patients
Doctorsnow Doral LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1740241942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 73RD ST STE 23",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502651321",
            "telephone_number": "515-267-1961",
            "fax_number": "515-225-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 73RD ST STE 23",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502651321",
            "telephone_number": "515-267-1961",
            "fax_number": "515-225-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "MALEA",
        "middle_name": "ANN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "03029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.