Lorraine C Roge-Jones, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

117521 Issued in IA

Practice address

1300 Woodland Ave
West Des Moines, IA 50265-2306

Phone

(515) 280-3860

NPI assigned

Apr 2, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Rebel Healthcare Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Des Moines, IA
  • NPI 1285583708
  NPD Authorized official

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1861070484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 WOODLAND AVE",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652306",
            "telephone_number": "712-223-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 WOODLAND AVE",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652306",
            "telephone_number": "515-280-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGE-JONES",
        "first_name": "LORRAINE",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085009650",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "117521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rock Valley Physical Therapy Center
• Carole R Rodemyer, MD
• Jeffrey Allen Rodgers, MD
• Samantha Alexis Rodriguez, LISW
• Jonathan M Roed, D.C.
• Kyle Edward Rogers, MD
• Naomi Rae Rogne
• Cayleen Sue Rohach
• Sucheta Rohilla
• Rohlfsen Chiropractic Clinic PC

• Physician Assistant in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.