Individual provider Active NPI

Jason Zinnel, PA-C

  • Physician Assistant
  • Spirit Lake, IA
National Provider Identifier
1740839042
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
107063 Issued in IA
Practice address
1850 Royal Ave
Spirit Lake, IA 51360-1190
Phone
(712) 336-6400
NPI assigned
Sep 9, 2019
Last updated
Jan 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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 107063 IA Primary

Addresses

Primary practice location

1850 Royal Ave
Spirit Lake, IA 51360-1190

Mailing address

1409 34TH St
Spirit Lake, IA 51360-7655

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
I20210329001600 IA Practitioner - Physician Assistant 7517374069 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
107063IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Spencer Municipal Hospital CurrentSince Apr 5, 2021 Accepting new patients
Spencer Municipal Hospital Single Specialty CurrentSince Apr 5, 2021 Accepting new patients
Spencer Municipal Hospital Single Specialty PastSince Jun 30, 2024 Accepting new patients

Locations

101 E 10th St
Ste 101
Spencer, IA 51301
Phone (712) 264-3500

116 E 11th St
Ste 101
Spencer, IA 51301
Phone (712) 264-3500

1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164

Interoperability endpoints

  • Direct secure messaging: jason.zinnel@avera.sdhealthlink.net

Organizations & group practices 4

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": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1740839042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 34TH ST",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513607655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 ROYAL AVE",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513601190",
            "telephone_number": "712-336-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINNEL",
        "first_name": "JASON",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-09",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "107063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spirit Lake, IA

Sources for this page

Verify at the official NPI Registry.