Individual provider Active NPI

Kalee J Gerdes, PA

  • Physician Assistant
  • Des Moines, IA
National Provider Identifier
1992084404
Registry record updated Oct 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002243 Issued in IA
Practice address
1221 Pleasant St Ste 100
Des Moines, IA 50309-1424
Phone
(515) 282-2921
Fax
(515) 282-1035
NPI assigned
Aug 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2022

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 002243 IA Primary

Addresses

Primary practice location

1221 Pleasant St Ste 100
Des Moines, IA 50309-1424

Mailing address

1221 Pleasant St Ste 100
Des Moines, IA 50309-1424
Phone (515) 282-2921

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kgerdes@MOHA.OncoEMRDirect.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
I20110913000831 IA Practitioner - Physician Assistant 9032380548 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002243IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Greene County Medical Center CurrentSince Feb 25, 2022 Accepting new patients
State University of Iowa CurrentSince Aug 2, 2021 Accepting new patients
Greene County Medical Center CurrentSince Feb 25, 2022 Accepting new patients
Boone County Hospital Past Accepting new patients

Locations

1221 Pleasant St
Ste 100
Des Moines, IA 50309
Phone (515) 237-7021

1000 W Lincoln Way
Jefferson, IA 50129
Phone (515) 386-2114

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

5950 University Ave
Ste 175
West Des Moines, IA 50266
Phone (515) 875-9908

5950 University Ave
Ste 341
West Des Moines, IA 50266
Phone (515) 875-9800

Interoperability endpoints

  • Direct secure messaging: kgerdes@moha.oncoemrdirect.com

Organizations & group practices 6

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": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664582400000",
    "number": "1992084404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 PLEASANT ST STE 100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091424",
            "telephone_number": "515-282-2921",
            "fax_number": "515-282-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 PLEASANT ST STE 100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091424",
            "telephone_number": "515-282-2921",
            "fax_number": "515-282-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERDES",
        "first_name": "KALEE",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-15",
        "last_updated": "2022-10-01",
        "certification_date": "2022-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "002243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kgerdes@MOHA.OncoEMRDirect.com",
            "affiliation": "N",
            "address_1": "1221 Pleasant St Ste 100",
            "city": "Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "503091424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.