Individual provider Active NPI

Elizabeth Jordan Hamer, P.A.-C

  • Medical Physician Assistant
  • West Des Moines, IA
National Provider Identifier
1770093106
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
086638 Issued in IA
Practice address
6000 University Ave
Suite 450
West Des Moines, IA 50266
Phone
(515) 241-2000
Fax
(515) 241-2005
NPI assigned
Oct 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 086638 IA Primary

Addresses

Primary practice location

6000 University Ave
Suite 450
West Des Moines, IA 50266

Mailing address

6000 University Ave
Suite 450
West Des Moines, IA 50266
Phone (515) 241-2000

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
I20171106001768 IA Practitioner - Physician Assistant 9032475124 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ducharme Dermatology PCGroup PAC ID 1254689268, 4 clinicians

Practice addresses (Care Compare)

16349 Sheridan Ave
Suite 101
Clive, IA 50325-4675
Phone (515) 650-2914

Merit-based Incentive Payment System (MIPS)

Final score
88.16 of 100Reported as group
Quality
82.24
Promoting interoperability
100
Improvement activities
40
Cost
78.28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
086638IAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ducharme Dermatology, P.C. CurrentSince Apr 1, 2026 Accepting new patients

Locations

16349 Sheridan Ave
Clive, IA 50325

Interoperability endpoints

  • Direct secure messaging: ehamer@dermatologypc.emadirect.md

Organizations & group practices 2

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": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1770093106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 UNIVERSITY AVE",
            "address_2": "SUITE 450",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "50266",
            "telephone_number": "515-241-2000",
            "fax_number": "515-241-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 UNIVERSITY AVE",
            "address_2": "SUITE 450",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "50266",
            "telephone_number": "515-241-2000",
            "fax_number": "515-241-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMER",
        "first_name": "ELIZABETH",
        "middle_name": "JORDAN",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "086638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.