Carol A Menke, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1106 Issued in IA

Practice address

1225 S Gear Ave Ste 252
West Burlington, IA 52655-1687

Phone

(319) 752-1805

Fax

(319) 752-1629

NPI assigned

Jul 14, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 3

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

Specialty

Physician Assistant

Education

University of Nebraska College of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southeast Iowa Regional Medical Center Hospital, West Burlington, IA, CCN 160057
• Henry County Health Center Hospital, Mount Pleasant, IA, CCN 161356

Merit-based Incentive Payment System (MIPS)

Final score

97.45 of 100Reported as group

Promoting interoperability

97

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carol.menke@forefrontdermatology.emadirect.md

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.

• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Mount Pleasant, IA
  • NPI 1457191967
  Medicare reassignment Care Compare group
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Ottumwa, IA
  • NPI 1083155501
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Columbus, OH
  • NPI 1063365385
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Manitowoc, WI
  • NPI 1578515904
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henry County Health Center, Inc.

  • Critical Access Hospital
  • Mount Pleasant, IA
  • NPI 1811571417
  Care Compare affiliation
• Southeast Iowa Regional Medical Center, Inc.

  • General Acute Care Hospital
  • West Burlington, IA
  • NPI 1134168263
  Care Compare affiliation

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722038400000",
    "number": "1962400770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 S GEAR AVE STE 252",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551687",
            "telephone_number": "319-752-1805",
            "fax_number": "319-752-1629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5409 Avenue O Ste 123",
            "address_purpose": "LOCATION",
            "city": "Fort Madison",
            "state": "IA",
            "postal_code": "526279601",
            "country_code": "US",
            "telephone_number": "319-752-1805",
            "fax_number": "319-752-1629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "407 S White St Ste 27",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "IA",
            "postal_code": "526412263",
            "country_code": "US",
            "telephone_number": "319-752-1805",
            "fax_number": "319-752-1629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENKE",
        "first_name": "CAROL",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "1106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Carol.Menke@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1225 S Gear Ave Ste 252",
            "city": "West Burlington",
            "state": "IA",
            "country_code": "US",
            "postal_code": "526551687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Carol.Menke@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "5409 Avenue O Ste 123",
            "city": "Fort Madison",
            "state": "IA",
            "country_code": "US",
            "postal_code": "526279601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Carol.Menke@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "407 S White St Ste 27",
            "city": "Mount Pleasant",
            "state": "IA",
            "country_code": "US",
            "postal_code": "526412263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle Lynn McDowell, DPT, CLT
• Jenna Lee McGowan, PA
• Urime Mehmedi, FNP
• Todd William Melvin, D.C.
• Seth M Mendenhall, PMHNP
• Christina Metternich, MSN, APN-FNP
• Diana Meyler, M.D
• Michael Mathews, DDS, P.C.
• Mariannette J Miller-Meeks, M.D.
• Dennis George Miller I, D.O.

• Medical Physician Assistant in West Burlington, IA
• Providers in West Burlington, IA by specialty
• Medical Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.