Individual provider Active NPI

Paul R. Niles, PA-C

  • Medical Physician Assistant
  • Akron, IA
National Provider Identifier
1932384971
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
001878 Issued in IA
Practice address
321 Mill St
Akron, IA 51001-7712
Phone
(712) 568-2411
Fax
(712) 568-2849
NPI assigned
Jan 9, 2008
Last updated
Apr 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 001878 IA Primary

Addresses

Primary practice location

321 Mill St
Akron, IA 51001-7712

Mailing address

PO Box 328
Sioux City, IA 51102-0328
Phone (712) 279-5830

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address paul.niles.p20@direct.trinity-healthiowa.nextgenshare.com

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
I20080215000251 IA Practitioner - Physician Assistant 0648353524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawarden Regional HealthcareGroup PAC ID 0547257990, shared by 3 NPIs, 23 clinicians

Practice addresses (Care Compare)

321 Mill St
Akron, IA 51001-7712
Phone (712) 568-2411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.04 of 100Reported as apm
Quality
89.99
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001878IAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hawarden Regional Healthcare Clinics LLC CurrentSince May 1, 2024 Accepting new patients
David Wolff, MD, PLLC Current Accepting new patients
Hawarden Regional Healthcare Clinics LLC CurrentSince May 1, 2024 Accepting new patients

Locations

1111 11th St
Hawarden, IA 51023
Phone (712) 551-3100

1122 12th St
Hawarden, IA 51023
Phone (712) 551-3400

1122 Avenue L
Hawarden, IA 51023
Phone (712) 551-3400

Interoperability endpoints

  • Direct secure messaging: paul.niles.p20@direct.trinity-healthiowa.nextgenshare.com

Organizations & group practices 4

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 1

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": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1932384971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 328",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511020328",
            "telephone_number": "712-279-5830",
            "fax_number": "712-279-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 MILL ST",
            "city": "AKRON",
            "state": "IA",
            "postal_code": "510017712",
            "telephone_number": "712-568-2411",
            "fax_number": "712-568-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILES",
        "first_name": "PAUL",
        "middle_name": "R.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "001878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paul.niles.p20@direct.trinity-healthiowa.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Akron Clinic",
            "address_1": "321 Mill St",
            "city": "Akron",
            "state": "IA",
            "country_code": "US",
            "postal_code": "510017712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Akron, IA

Sources for this page

Verify at the official NPI Registry.