NPIMap

Individual provider Active NPI

Jennifer Diane Pavlisin, ARNP

  • Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1760996987
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
H171254 Issued in IA
Practice address
411 Laurel St Ste A300
Des Moines, IA 50314-3030
Phone
(515) 282-2921
Fax
(515) 283-1035
NPI assigned
Nov 27, 2017
Last updated
Nov 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2018001756 MO
Nurse Practitioner 363L00000X H171254 IA Primary

Addresses

Primary practice location

411 Laurel St Ste A300
Des Moines, IA 50314-3030

Mailing address

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (515) 282-2921

Other practice location 1

12495 University Ave Ste 200
Clive, IA 50325-8290
Phone (515) 282-2921

Other practice location 2

1950 SW Magazine Rd
Ankeny, IA 50023-2977
Phone (515) 282-2921

Other practice location 3

110 E Court Ave Ste 200
Des Moines, IA 50309-2044
Phone (515) 282-2921

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
I20221104002461 IA Practitioner - Nurse Practitioner 3274894258 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians
St Anthony Regional Hospital and Nursing HomeGroup PAC ID 4688586829, shared by 8 NPIs, 49 clinicians

Practice addresses (Care Compare)

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616

311 S Clark St
Carroll, IA 51401-3038
Phone (712) 792-3581

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.64 of 100Reported as group
Quality
69.74
Promoting interoperability
83
Improvement activities
40
Cost
69.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
H171254IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
State University of Iowa CurrentSince Dec 31, 2024 Accepting new patients
St Anthony Regional Hospital and Nursing Home Nurse Practitioner CurrentSince Nov 1, 2022 Accepting new patients
Audubon County Memorial Hospital CurrentSince Jan 20, 2026 Accepting new patients
St Anthony Regional Hospital and Nursing Home Current Accepting new patients
Audubon County Memorial Hospital CurrentSince Jan 20, 2026 Accepting new patients
St Anthony Regional Hospital and Nursing Home CurrentSince Nov 1, 2022 Accepting new patients

Locations

1950 SW Magazine Rd
Ankeny, IA 50023

515 Pacific Ave
Audubon, IA 50025
Phone (712) 563-2611

311 S Clark St
Carroll, IA 51401
Phone (712) 792-3581

12495 University Ave
Ste 200
Clive, IA 50325
Phone (515) 223-6605

110 E Court Ave
Ste 200
Des Moines, IA 50309
Phone (515) 237-7024

1221 Pleasant St
Ste 100
Des Moines, IA 50309
Phone (515) 237-7080

1221 Pleasant St
Ste 590
Des Moines, IA 50309
Phone (515) 237-7022

411 Laurel St
Ste A300
Des Moines, IA 50314
Phone (515) 247-3970

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616

Interoperability endpoints

  • Direct secure messaging: jpavlisin4074897@direct.trinity-health.org
  • Direct secure messaging: jpavlisin945859@direct.unitypoint.org

Organizations & group practices 7

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 10

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": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1760996987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "515-282-2921",
            "fax_number": "515-283-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LAUREL ST STE A300",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143030",
            "telephone_number": "515-282-2921",
            "fax_number": "515-283-1035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12495 University Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Clive",
            "state": "IA",
            "postal_code": "503258290",
            "country_code": "US",
            "telephone_number": "515-282-2921",
            "fax_number": "515-283-1035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1950 SW Magazine Rd",
            "address_purpose": "LOCATION",
            "city": "Ankeny",
            "state": "IA",
            "postal_code": "500232977",
            "country_code": "US",
            "telephone_number": "515-282-2921",
            "fax_number": "515-282-2099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 E Court Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503092044",
            "country_code": "US",
            "telephone_number": "515-282-2921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAVLISIN",
        "first_name": "JENNIFER",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2018001756",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "H171254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.