Individual provider Active NPI

Jenna Nicole Vandonslear, PA-C

  • Physician Assistant
  • Des Moines, IA
National Provider Identifier
1831723832
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
110265 Issued in IA
Practice address
2103 Ingersoll Ave
Des Moines, IA 50312-5227
Phone
(515) 964-4664
NPI assigned
Feb 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 110265 IA Primary

Addresses

Primary practice location

2103 Ingersoll Ave
Des Moines, IA 50312-5227

Mailing address

2103 Ingersoll Ave
Des Moines, IA 50312-5227

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
I20211007000106 IA Practitioner - Physician Assistant 6204234107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2103 Ingersoll Ave
Des Moines, IA 50312-5227

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

5200 100TH St
Urbandale, IA 50322-7208
Phone (515) 251-3880

6520 SE 14TH St
Des Moines, IA 50320-1846
Phone (515) 953-1500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation Physician Assistant CurrentSince Sep 27, 2021 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Sep 27, 2021 Accepting new patients

Locations

2720 8th St SW
Ste A2
Altoona, IA 50009
Phone (515) 967-0133

3625 N Ankeny Blvd
Ste E
Ankeny, IA 50023
Phone (515) 965-4664

1055 SW Oralabor Rd
Ankeny, IA 50023
Phone (515) 371-9406

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

2103 Ingersoll Ave
Ste 2
Des Moines, IA 50312
Phone (515) 323-5680

2103 Ingersoll Ave
Des Moines, IA 50312
Phone (515) 279-6424

6520 SE 14th St
Des Moines, IA 50320
Phone (515) 256-4242

5200 100th St
Urbandale, IA 50322
Phone (515) 265-4211

950 E Hickman Rd
Waukee, IA 50263
Phone (515) 987-8256

1776 Westlakes Pkwy
Ste 400
West Des Moines, IA 50266
Phone (515) 241-6161

180 Jordan Creek Pkwy
Ste 120
West Des Moines, IA 50266
Phone (515) 224-5868

Interoperability endpoints

  • Direct secure messaging: jvandonslear790257@direct.unitypoint.org

Organizations & group practices 3

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 3

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": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1831723832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 INGERSOLL AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 INGERSOLL AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125227",
            "telephone_number": "515-964-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDONSLEAR",
        "first_name": "JENNA",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-27",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "110265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.