NPIMap

Individual provider Active NPI

Cassandra R Burch, PA-C

  • Physician Assistant
  • Des Moines, IA
National Provider Identifier
1861755985
Registry record updated Jun 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002302 Issued in IA
Practice address
1215 Pleasant St
Ste 608
Des Moines, IA 50309-1416
Phone
(515) 241-5760
Fax
(515) 241-8161
NPI assigned
Jun 22, 2012
Last updated
Jun 22, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2012

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 002302 IA Primary

Addresses

Primary practice location

1215 Pleasant St
Ste 608
Des Moines, IA 50309-1416

Mailing address

6800 Lake Dr
Ste 250
West Des Moines, IA 50266-2500
Phone (515) 875-9925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120904000571 IA Practitioner - Physician Assistant 5395992952 Reassigns benefits to 3 organizations

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
Central Iowa Hospital CorporationGroup PAC ID 1052229275, 233 clinicians
Iowa Radiology P CGroup PAC ID 2264323468, 37 clinicians
Iowa Diagnostic Imaging and Procedure Center, L CGroup PAC ID 1658263546, 36 clinicians

Practice addresses (Care Compare)

1200 Pleasant St
Des Moines, IA 50309-1406
Phone (515) 241-6212

1221 Pleasant St
Suite 350
Des Moines, IA 50309-1420
Phone (515) 226-9810

12368 Stratford Dr
Suite 300
Clive, IA 50325-8149
Phone (515) 228-9810

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.72 of 100Reported as group
Quality
71.18
Improvement activities
40
Cost
58.57

Merit-based Incentive Payment System (MIPS)

Final score
81.64 of 100Reported as group
Quality
78.11
Improvement activities
40
Cost
78.95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002302IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation Past Accepting new patients
The Iowa Clinic, PC Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1861755985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 LAKE DR",
            "address_2": "STE 250",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502662500",
            "telephone_number": "515-875-9925",
            "fax_number": "515-875-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 PLEASANT ST",
            "address_2": "STE 608",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091416",
            "telephone_number": "515-241-5760",
            "fax_number": "515-241-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCH",
        "first_name": "CASSANDRA",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "002302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.