Individual provider Active NPI

Jessica Ortiz-Raasch, P.A.

  • Physician Assistant
  • Davenport, IA
National Provider Identifier
1801126792
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085004342 Issued in IL
Practice address
3385 Dexter CT
Suite 300
Davenport, IA 52807-3471
Phone
(563) 344-9292
Fax
(563) 344-9573
NPI assigned
Dec 28, 2009
Last updated
Jul 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 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 085004342 IL Primary
Physician Assistant 363A00000X 002060 IA

Addresses

Primary practice location

3385 Dexter CT
Suite 300
Davenport, IA 52807-3471

Mailing address

3385 Dexter CT
Suite 300
Davenport, IA 52807-3471
Phone (563) 344-9292

Other identifiers 2

IdentifierTypeStateIssuer
213140006OtherIAMEDICARE INDIVIDUAL PTAN
IL2709013OtherILINDIVIDUAL PTAN

Other names 1

  • Jessica L Ortiz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100505000556 IA Practitioner - Physician Assistant 8224166616 Reassigns benefits to 5 organizations
I20120802000353 IL Practitioner - Physician Assistant 8224166616 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercyone UrgentcareGroup PAC ID 6002294907, 22 clinicians
Realhealth Advanced Care SCGroup PAC ID 5890016836, 5 clinicians

Practice addresses (Care Compare)

2400 Lillian Way
Clinton, IA 52732-2001
Phone (225) 239-7190

328 W Washington St
East Peoria, IL 61611-2036
Phone (309) 682-9000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002060IAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Regional Medical Center CurrentSince May 5, 2025 Accepting new patients
Physicians Immediate Care North Chicago LLC CurrentSince Dec 15, 2025 Accepting new patients
Mercyone Urgentcare CurrentSince Oct 10, 2023 Accepting new patients
Realhealth Advanced Care SC CurrentSince Jan 19, 2026 Accepting new patients

Locations

2400 Lillian Way
Clinton, IA 52732
Phone (563) 243-1200

6601 SW 9th St
Ste 3
Des Moines, IA 50315
Phone (515) 461-9786

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

1672 S Galena Ave
Dixon, IL 61021
Phone (708) 415-0267

328 W Washington St
East Peoria, IL 61611
Phone (309) 682-9000

Interoperability endpoints

  • Direct secure messaging: jraasch@mchstaff.securechart.com
  • Direct secure messaging: jraasch4074822@direct.trinity-health.org

Organizations & group practices 9

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": "1261958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1801126792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 DEXTER CT",
            "address_2": "SUITE 300",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073471",
            "telephone_number": "563-344-9292",
            "fax_number": "563-344-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 DEXTER CT",
            "address_2": "SUITE 300",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073471",
            "telephone_number": "563-344-9292",
            "fax_number": "563-344-9573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ-RAASCH",
        "first_name": "JESSICA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-28",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085004342",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "002060",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "213140006",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN",
            "identifier": "IL2709013",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "ORTIZ",
            "middle_name": "L",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.