Individual provider Active NPI

Jennifer Lyn Messersmith, PA-C

  • Physician Assistant
  • Grimes, IA
National Provider Identifier
1861736340
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
088067 Issued in IA
Practice address
250 SW Brookside Dr
Grimes, IA 50111-4900
Phone
(515) 300-3900
Fax
(515) 300-3901
NPI assigned
Nov 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 088067 IA Primary

Addresses

Primary practice location

250 SW Brookside Dr
Grimes, IA 50111-4900

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 300-3900

Other practice location 1

6601 SW 9th St
Des Moines, IA 50315-6138
Phone (515) 643-9400

Other practice location 2

6601 SW 9th St
Des Moines, IA 50315-6138
Phone (515) 643-9400

Other names 1

  • Jennifer Lyn Rueschenberg Former name

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
I20170908002284 IA Practitioner - Physician Assistant 0840443701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DSM Sleep SpecialistsGroup PAC ID 8022362466, 5 clinicians

Practice addresses (Care Compare)

1275 NW 128TH St
Suite 200
Clive, IA 50325-7403
Phone (734) 502-6716

Merit-based Incentive Payment System (MIPS)

Final score
80.29 of 100Reported as group
Quality
68.58
Improvement activities
40
Cost
76.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11281MNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DSM Sleep Specialists CurrentSince May 17, 2022 Accepting new patients

Locations

1275 NW 128th St
Ste 200
Clive, IA 50325
Phone (515) 224-3948

Organizations & group practices 2

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": "1353456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1861736340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-300-3900",
            "fax_number": "515-300-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 SW BROOKSIDE DR",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501114900",
            "telephone_number": "515-300-3900",
            "fax_number": "515-300-3901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6601 SW 9th St",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503156138",
            "country_code": "US",
            "telephone_number": "515-643-9400",
            "fax_number": "515-643-9405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6601 SW 9th St",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503156138",
            "country_code": "US",
            "telephone_number": "515-643-9400",
            "fax_number": "515-643-9405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MESSERSMITH",
        "first_name": "JENNIFER",
        "middle_name": "LYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "088067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "RUESCHENBERG",
            "middle_name": "LYN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grimes, IA

Sources for this page

Verify at the official NPI Registry.