Individual provider Active NPI

Grace Forsyth Edwards, PA-C

  • Physician Assistant
  • West Des Moines, IA
National Provider Identifier
1790589422
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
134534 Issued in IA
Practice address
6000 University Ave Ste 450
West Des Moines, IA 50266-8229
Phone
(515) 241-2000
Fax
(515) 241-2005
NPI assigned
Apr 2, 2025
Last updated
Jul 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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 134534 IA Primary
Medical Physician Assistant 363AM0700X 134534 IA

Addresses

Primary practice location

6000 University Ave Ste 450
West Des Moines, IA 50266-8229

Mailing address

6000 University Ave Ste 450
West Des Moines, IA 50266-8229
Phone (515) 241-2000

Other practice location 1

800 E 1st St Ste 2900
Ankeny, IA 50021-2174
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
I20251120001800 IA Practitioner - Physician Assistant 1658863345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology PCGroup PAC ID 8426945742, 15 clinicians

Practice addresses (Care Compare)

6000 University Ave
Suite 450
West Des Moines, IA 50266-8229
Phone (515) 241-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
134534IAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology, PC CurrentSince Sep 29, 2025 Accepting new patients

Locations

800 E 1st St
Ste 2900
Ankeny, IA 50021
Phone (515) 241-2000

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

Organizations & group practices 1

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": "1743552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1790589422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 UNIVERSITY AVE STE 450",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668229",
            "telephone_number": "515-241-2000",
            "fax_number": "515-241-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 UNIVERSITY AVE STE 450",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668229",
            "telephone_number": "515-241-2000",
            "fax_number": "515-241-2005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E 1st St Ste 2900",
            "address_purpose": "LOCATION",
            "city": "Ankeny",
            "state": "IA",
            "postal_code": "500212174",
            "country_code": "US",
            "telephone_number": "515-241-2000",
            "fax_number": "515-241-2005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "GRACE",
        "middle_name": "FORSYTH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-02",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "134534",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "134534",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.