Individual provider Active NPI

Nicholas Gene Vellema, PA-C

  • Physician Assistant
  • West Des Moines, IA
National Provider Identifier
1871961789
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
079188 Issued in IA
Practice address
2900 Westown Pkwy Ste 130
West Des Moines, IA 50266-1315
Phone
(515) 224-6065
Fax
(833) 907-2405
NPI assigned
Sep 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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 079188 IA Primary

Addresses

Primary practice location

2900 Westown Pkwy Ste 130
West Des Moines, IA 50266-1315

Mailing address

2900 Westown Pkwy Ste 130
West Des Moines, IA 50266-1315
Phone (515) 224-6065

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
I20151005001980 IA Practitioner - Physician Assistant 2860700259 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focused Life Health Care PCGroup PAC ID 1355733734, 5 clinicians

Practice addresses (Care Compare)

2900 Westown Pkwy
Suite 130
West Des Moines, IA 50266-1315
Phone (515) 227-6065

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
079188IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercyone Urgentcare CurrentSince Dec 11, 2023 Accepting new patients
Decatur County Hospital CurrentSince May 23, 2023 Accepting new patients

Locations

2400 Lillian Way
Clinton, IA 52732
Phone (563) 243-1200

6601 SW 9th St
Ste 3
Des Moines, IA 50315
Phone (515) 461-9786

1405 NW Church St
Leon, IA 50144
Phone (641) 446-2340

Interoperability endpoints

  • Direct secure messaging: nicholas.vellema.1@23533.direct.athenahealth.com
  • Direct secure messaging: nvellema4074852@direct.trinity-health.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1871961789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 WESTOWN PKWY STE 130",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661315",
            "telephone_number": "515-224-6065",
            "fax_number": "833-907-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 WESTOWN PKWY STE 130",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661315",
            "telephone_number": "515-224-6065",
            "fax_number": "833-907-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELLEMA",
        "first_name": "NICHOLAS",
        "middle_name": "GENE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-09",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "079188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.