Individual provider Active NPI

Elli Kay Vore, PA-C

  • Physician Assistant
  • West Des Moines, IA
National Provider Identifier
1992311435
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
105088 Issued in IA
Practice address
7300 Westown Pkwy Ste 330
West Des Moines, IA 50266-2527
Phone
(515) 650-4370
NPI assigned
Sep 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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 105088 IA Primary

Addresses

Primary practice location

7300 Westown Pkwy Ste 330
West Des Moines, IA 50266-2527

Mailing address

7300 Westown Pkwy Ste 330
West Des Moines, IA 50266-2527
Phone (515) 650-4370

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
I20210329001734 IA Practitioner - Physician Assistant 3678980125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1450 NW 114TH St
Clive, IA 50325-7039

1715 1St Ave SE
Suite 200
Cedar Rapids, IA 52402-3432

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: elli.vore.1@25062.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25062/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1992311435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 WESTOWN PKWY STE 330",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502662527",
            "telephone_number": "515-650-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 WESTOWN PKWY STE 330",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502662527",
            "telephone_number": "515-650-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VORE",
        "first_name": "ELLI",
        "middle_name": "KAY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "105088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.