Individual provider Active NPI

Jasmina Salcinovic-Spahic, PA-C

  • Physician Assistant
  • Des Moines, IA
National Provider Identifier
1750618401
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002003 Issued in IA
Practice address
200 Army Post Rd.
Ste 26
Des Moines, IA 50315-6203
Phone
(515) 953-7560
Fax
(515) 953-7549
NPI assigned
Nov 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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 002003 IA Primary

Addresses

Primary practice location

200 Army Post Rd.
Ste 26
Des Moines, IA 50315-6203

Mailing address

1171 7TH St.
Des Moines, IA 50314-2505
Phone (515) 280-7004

Other practice location 1

5950 University Ave Ste 105
West Des Moines, IA 50266-7756
Phone (515) 875-9070

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
I20100121000616 IA Practitioner - Physician Assistant 8628110129 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Iowa Clinic PCGroup PAC ID 4082513742, 307 clinicians
Broadlawns Medical CenterGroup PAC ID 3678466166, 302 clinicians

Practice addresses (Care Compare)

1005 Pennsylvania Ave
Suite 102a
Ottumwa, IA 52501-6408
Phone (641) 684-2589

1801 Hickman Rd
Des Moines, IA 50314-1548
Phone (515) 282-2200

2508 E University Ave
Des Moines, IA 50317-5313
Phone (515) 282-3278

5950 University Ave
West Des Moines, IA 50266-8231
Phone (515) 875-9100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002003IAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Broadlawns Medical Center CurrentSince Jun 14, 2022 Accepting new patients
The Iowa Clinic, PC CurrentSince Apr 1, 2020 Accepting new patients
The Iowa Clinic PC CurrentSince Apr 1, 2020 Accepting new patients
Planned Parenthood of the Heartland, Inc Past Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

1200 N 7th St
Chariton, IA 50049
Phone (515) 774-3000

1801 Hickman Rd
Bldg First
Des Moines, IA 50314

1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200

2508 E University Ave
Des Moines, IA 50317
Phone (515) 282-2362

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

1005 Pennsylvania Ave
Ste 102A
Ottumwa, IA 52501
Phone (641) 684-2589

5950 University Ave
Ste 105
West Des Moines, IA 50266
Phone (515) 875-9070

1660 60th St
West Des Moines, IA 50266
Phone (515) 241-2250

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1750618401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 7TH ST.",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142505",
            "telephone_number": "515-280-7004",
            "fax_number": "515-280-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ARMY POST RD.",
            "address_2": "STE 26",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503156203",
            "telephone_number": "515-953-7560",
            "fax_number": "515-953-7549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5950 University Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502667756",
            "country_code": "US",
            "telephone_number": "515-875-9070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALCINOVIC-SPAHIC",
        "first_name": "JASMINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-17",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "002003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.