NPIMap

Individual provider Active NPI

Kaylene R Rogers, P.A.

  • Surgical Physician Assistant
  • Des Moines, IA
National Provider Identifier
1811926413
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
001712 Issued in IA
Practice address
411 Laurel St
Suite A250
Des Moines, IA 50314-3017
Phone
(515) 235-5000
Fax
(515) 288-6713
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 001712 IA Primary

Addresses

Primary practice location

411 Laurel St
Suite A250
Des Moines, IA 50314-3017

Mailing address

5880 University Ave
Suite 205
West Des Moines, IA 50266-8220
Phone (515) 633-3835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060804000376 IA Practitioner - Physician Assistant 1658336300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1816 Philadelphia St
Ames, IA 50010-8771
Phone (515) 232-2500

411 Laurel St
Suite 1225
Des Moines, IA 50314-3017
Phone (515) 633-3770

411 Laurel St
Suite A250
Des Moines, IA 50314-3029
Phone (515) 235-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001712IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives-Iowa Corp CurrentSince Oct 1, 2009 Accepting new patients
North Iowa Mercy Clinics Current Accepting new patients
North Iowa Mercy Clinics CurrentSince May 7, 2023 Accepting new patients
North Iowa Mercy Clinics CurrentSince May 7, 2023 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Iowa Heart Center PC Past Accepting new patients
Catholic Health Initiatives-Iowa Corp Past Accepting new patients

Locations

1816 Philadelphia St
Ames, IA 50010
Phone (515) 232-2500

800 Mercy Dr
Ste 120
Council Bluffs, IA 51503
Phone (712) 388-2633

411 Laurel St
Ste A250
Des Moines, IA 50314
Phone (515) 235-5000

800 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6800

3 S 4th Ave
Marshalltown, IA 50158
Phone (641) 754-5145

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

5880 University Ave
Ste 205
West Des Moines, IA 50266

Interoperability endpoints

  • Direct secure messaging: krogers3956252@direct.trinity-health.org
  • Direct secure messaging: kaylene.rogers.p1@direct.iowaheart.nextgenshare.com

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1811926413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5880 UNIVERSITY AVE",
            "address_2": "SUITE 205",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668220",
            "telephone_number": "515-633-3835",
            "fax_number": "515-633-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LAUREL ST",
            "address_2": "SUITE A250",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143017",
            "telephone_number": "515-235-5000",
            "fax_number": "515-288-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "KAYLENE",
        "middle_name": "R",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IA",
            "license": "001712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.