Individual provider Active NPI

Laurie Lavon Clair, MSPA, PA-C

  • Physician Assistant
  • Johnston, IA
National Provider Identifier
1790046548
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
8460 Birchwood CT Ste 700
Johnston, IA 50131-2806
Phone
(515) 229-2318
NPI assigned
Jun 7, 2012
Last updated
Aug 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X IA Primary
Medical Physician Assistant 363AM0700X 002324 IA

Addresses

Primary practice location

8460 Birchwood CT Ste 700
Johnston, IA 50131-2806

Mailing address

8460 Birchwood CT Ste 700
Johnston, IA 50131-2806
Phone (515) 229-2318

Other practice location 1

1119 E 2nd St
Pella, IA 50219-1200
Phone (515) 229-2318

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
I20121207000265 IA Practitioner - Physician Assistant 6709038284 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LC Psychiatry IncGroup PAC ID 1557867207, 4 clinicians

Practice addresses (Care Compare)

8460 Birchwood CT
Suite 700
Johnston, IA 50131-2806
Phone (515) 229-2318

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002324IAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Broadlawns Medical Center CurrentSince Dec 4, 2017 Accepting new patients
Mason City Clinic PC Physician Assistant CurrentSince Aug 15, 2016 Accepting new patients
Broadlawns Medical Center CurrentSince Dec 4, 2017 Accepting new patients
LC Psychiatry Inc. Medical CurrentSince Jul 1, 2025 Accepting new patients

Locations

1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200

1801 Hickman Rd
Bldg First
Des Moines, IA 50314

2508 E University Ave
Des Moines, IA 50317
Phone (515) 282-2362

580 SW 9th St
Des Moines, IA 50309

8460 Birchwood Ct
Ste 700
Johnston, IA 50131
Phone (515) 229-2318

250 S Crescent Dr
Mason City, IA 50401
Phone (541) 422-6588

520 S Pierce Ave
Ste 204
Mason City, IA 50401
Phone (641) 494-5170

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1790046548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8460 BIRCHWOOD CT STE 700",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312806",
            "telephone_number": "515-229-2318",
            "fax_number": "515-214-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8460 BIRCHWOOD CT STE 700",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312806",
            "telephone_number": "515-229-2318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1119 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Pella",
            "state": "IA",
            "postal_code": "502191200",
            "country_code": "US",
            "telephone_number": "515-229-2318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAIR",
        "first_name": "LAURIE",
        "middle_name": "LAVON",
        "name_prefix": "Ms.",
        "credential": "MSPA, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "002324",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, IA

Sources for this page

Verify at the official NPI Registry.