Active NPI
Derrick Beckman, PA-C
- Physician Assistant
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 127468
- Practice address
- 4326 Hickman Rd Ste 100
Des Moines, IA 50310-3302 - Phone
- (515) 271-6333
- Fax
- (515) 271-6379
- NPI assigned
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 127468 | IA | Primary |
Addresses
Primary practice location
4326 Hickman Rd Ste 100
Des Moines, IA 50310-3302
Mailing address
PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 271-6333
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6601 SW 9TH St
Des Moines, IA 50315-6138
Phone (515) 643-8350
Hospital & facility affiliations
- Mercyone Des Moines Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 127468 | IA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinics, Inc. | Current | Accepting new patients | |
| Mercy Clinics Inc | Current | Accepting new patients | |
| Mercy Clinics, Inc. | Current | Accepting new patients | |
| Mercy Clinics, Inc | Past | Accepting new patients |
Locations
800 E 1st St
Ste 1700
Ankeny, IA 50021
Phone (515) 643-8100
2605 SW White Birch Dr
Ankeny, IA 50023
Phone (515) 643-7100
1601 NW 114th St
Ste 247
Des Moines, IA 50325
Phone (515) 222-7000
6601 SW 9th St
Des Moines, IA 50315
Phone (515) 643-9400
405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259
330 Laurel St
Ste 1200
Des Moines, IA 50314
Phone (515) 643-5454
4326 Hickman Rd
Ste 100
Des Moines, IA 50310
Phone (515) 271-6333
307 E Scenic Valley Ave
Indianola, IA 50125
Phone (515) 961-8448
5900 E University Ave
Ste 100
Pleasant Hill, IA 50327
Phone (515) 643-2400
Interoperability endpoints
- dbeckman3939249@direct.trinity-health.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 and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Clive, IA
- NPI 1487670923
-
- Primary Care Clinic/Center
- Pleasant Hill, IA
- NPI 1215953856
-
- Obstetrics & Gynecology Physician
- Des Moines, IA
- NPI 1508741505
-
- Primary Care Clinic/Center
- Des Moines, IA
- NPI 1952327470
-
- Primary Care Clinic/Center
- Des Moines, IA
- NPI 1710903364
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1538395975
-
- Clinical Medical Laboratory
- Des Moines, IA
- NPI 1104982743
Hospital
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1508964883
-
- Mammography Clinic/Center
- Des Moines, IA
- NPI 1477984367
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1760182935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1475",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503051475",
"telephone_number": "515-271-6333",
"fax_number": "515-271-6379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4326 HICKMAN RD STE 100",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503103302",
"telephone_number": "515-271-6333",
"fax_number": "515-271-6379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKMAN",
"first_name": "DERRICK",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-07",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "127468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.