Individual provider Active NPI

Monica Forbes, PA-C

  • Medical Physician Assistant
  • Clear Lake, IA
National Provider Identifier
1770526733
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
000918 Issued in IA
Practice address
401 S 17TH St
Clear Lake, IA 50428-2304
Phone
(641) 357-1800
Fax
(641) 357-1803
NPI assigned
Jun 14, 2006
Last updated
Mar 16, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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 000918 IA Primary

Addresses

Primary practice location

401 S 17TH St
Clear Lake, IA 50428-2304

Mailing address

401 S 17TH St
Clear Lake, IA 50428-2304
Phone (641) 357-1800

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
I20111115000060 IA Practitioner - Physician Assistant 4789858465 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Specialty Hospital- ClarionGroup PAC ID 3375451347, 94 clinicians

Practice addresses (Care Compare)

215 13TH Ave SW
Clarion Clinic
Clarion, IA 50525-2078
Phone (515) 532-2838

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Specialty Hospital-Clarion CurrentSince Jan 1, 2000 Accepting new patients
Iowa Specialty Hospital- Clarion CurrentSince Jan 1, 2000 Accepting new patients
Belmond Community Hospital CurrentSince Nov 18, 2013 Accepting new patients
Iowa Specialty Hospital- Clarion Past Accepting new patients
Hospital Medicine Associates of Monmouth County, LLC Past Accepting new patients

Locations

403 1st St SE
Belmond, IA 50421
Phone (641) 444-3223

1316 S Main St
Clarion, IA 50525
Phone (515) 532-2811

215 13th Ave SW
Clarion, IA 50525
Phone (515) 532-2836

401 S 17th St
Clear Lake, IA 50428
Phone (515) 832-1200

Interoperability endpoints

  • Direct secure messaging: mforbes84214@uihcdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489622400000",
    "number": "1770526733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S 17TH ST",
            "city": "CLEAR LAKE",
            "state": "IA",
            "postal_code": "504282304",
            "telephone_number": "641-357-1800",
            "fax_number": "641-357-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S 17TH ST",
            "city": "CLEAR LAKE",
            "state": "IA",
            "postal_code": "504282304",
            "telephone_number": "641-357-1800",
            "fax_number": "641-357-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORBES",
        "first_name": "MONICA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2017-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "000918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clear Lake, IA

Sources for this page

Verify at the official NPI Registry.