Jill Wall Alexander
Individual provider Active NPI Pediatrics Physician · Ames, IA
NPI 1851387591 · NPPES record last updated Nov 10, 2020
Key facts
- NPI
- 1851387591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 33867 (IA)
- Practice address
- 1215 Duff Ave
Ames, IA 50010-5400 - Phone
- (515) 239-4404
- Fax
- (515) 239-4721
- NPI assigned
- Sep 27, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- McFarland Clinic PC
Practice addresses (Care Compare)
1215 Duff Ave
Ames, IA 50010-5400
Phone (515) 239-4400
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200319002509 | IA | Practitioner - Pediatric Medicine | 0042648313 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33867 | IA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McFarland Clinic PC | Current |
Accepting new patients | |
| McFarland Clinic, PC | Past | Accepting new patients | |
| Boone County Hospital | Past | Accepting new patients |
Locations
1215 Duff Ave
Ames, IA 50010
Phone (515) 239-4400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 33867 | IA | Yes |
Addresses
Primary practice location
1215 Duff Ave
Ames, IA 50010-5400
Mailing address
PO Box 3014
Ames, IA 50010-3014
Phone (515) 239-4404
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1231845 | Medicaid | IA |
Other names
- Jill Wall
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jalexander393@directmcfarlandclinic.com | Health Information Exchange (HIE) |
Other providers in Ames, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.