Individual provider Active NPI

Jill M Jasper, MD

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Des Moines, IA
National Provider Identifier
1821058868
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
MD-38946 Issued in IA
Practice address
1200 Pleasant Street
Blank Children'S Hospital
Des Moines, IA 50309
Phone
(515) 241-6611
Fax
(515) 241-6635
NPI assigned
Mar 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X MD-38946 IA Primary

Addresses

Primary practice location

1200 Pleasant Street
Blank Children'S Hospital
Des Moines, IA 50309

Mailing address

1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926

Other identifiers 1

IdentifierTypeStateIssuer
1821058868MedicaidIA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100910001129 IA Practitioner - Pediatric Medicine 8426058256 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Central Iowa Hospital Corporation Current Accepting new patients
Central Iowa Hospital Corporation Pediatric Emergency Medicine CurrentSince Aug 1, 2001 Accepting new patients
Central Iowa Hospital Corporation CurrentSince Aug 1, 2001 Accepting new patients
Central Dupage Emergency Physicians, PC PastSince Feb 11, 2024 Accepting new patients
Pediatric Faculty Foundation, Inc Past Accepting new patients

Locations

1200 Pleasant St
Ste S228
Des Moines, IA 50309

1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926

Interoperability endpoints

  • Direct secure messaging: jjasper11990@direct.unitypoint.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1821058868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PLEASANT ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "50309",
            "telephone_number": "515-241-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PLEASANT STREET",
            "address_2": "BLANK CHILDREN'S HOSPITAL",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "50309",
            "telephone_number": "515-241-6611",
            "fax_number": "515-241-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASPER",
        "first_name": "JILL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "IA",
            "license": "MD-38946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821058868",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.