Active NPI
Jaylene A Zanker, PAC
- Physician Assistant
- Hamburg, IA
National Provider Identifier
1780905307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 002120
- Practice address
- 1219 Main St
Hamburg, IA 51640-1300 - Phone
- (712) 382-2626
- Fax
- (712) 382-1931
- NPI assigned
- Jun 17, 2010
- Sex
- Female
- 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 | 002120 | IA | Primary |
Addresses
Primary practice location
1219 Main St
Hamburg, IA 51640-1300
Mailing address
1219 Main St
Hamburg, IA 51640-1300
Phone (712) 382-2626
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100825000024 | IA | Practitioner - Physician Assistant | 5092839290 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medical Clinic LLC
Practice addresses (Care Compare)
1219 Main St
Hamburg, IA 51640-1300
Phone (712) 382-2626
313 Main St
Sidney, IA 51652-8036
Phone (712) 374-2649
710 Ctr St
Tabor, IA 51653-2069
Phone (712) 629-2975
Hospital & facility affiliations
- George C Grape Community Hospital
- Methodist Jennie Edmundson
- Shenandoah Medical Center
- CHI Health St Mary'S
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002120 | IA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarinda Regional Health Center | Current | Accepting new patients | |
| Medical Clinic LLC | Current | Accepting new patients | |
| Medical Clinic LLC | Current | Accepting new patients |
Locations
220 Essie Davison Dr
Clarinda, IA 51632
Phone (712) 542-8330
1219 Main St
Hamburg, IA 51640
Phone (712) 382-2626
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.
-
- Rural Health Clinic/Center
- Sidney, IA
- NPI 1871566265
-
- Rural Health Clinic/Center
- Hamburg, IA
- NPI 1972575595
-
- Rural Health Clinic/Center
- Tabor, IA
- NPI 1841263233
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Council Bluffs, IA
- NPI 1457448755
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276732800000",
"number": "1780905307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1219 MAIN ST",
"city": "HAMBURG",
"state": "IA",
"postal_code": "516401300",
"telephone_number": "712-382-2626",
"fax_number": "712-382-1931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1219 MAIN ST",
"city": "HAMBURG",
"state": "IA",
"postal_code": "516401300",
"telephone_number": "712-382-2626",
"fax_number": "712-382-1931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZANKER",
"first_name": "JAYLENE",
"middle_name": "A",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-17",
"last_updated": "2010-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "002120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamburg, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.