Active NPI
Allyson Jansen
- Physician Assistant
- Bettendorf, IA
National Provider Identifier
1992480214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 133097
- Practice address
- 4500 Utica Ridge Rd
Bettendorf, IA 52722-1626 - Phone
- (309) 779-5000
- NPI assigned
- Jun 15, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 133097 | IA | Primary |
Addresses
Primary practice location
4500 Utica Ridge Rd
Bettendorf, IA 52722-1626
Mailing address
634 N Cody Rd
Le Claire, IA 52753-9673
Phone (608) 732-9950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250917000514 | IA | Practitioner - Physician Assistant | 6305340043 | Reassigns benefits to 2 organizations |
| I20250919000262 | IL | Practitioner - Physician Assistant | 6305340043 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1776 W Lakes Pkwy
Suite 400
West Des Moines, IA 50266-8378
PO Box
Kansas City, MO 64184
Hospital & facility affiliations
- Trinity Rock Island
- Trinity - Bettendorf
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Trinity Medical Center | Single Specialty | Current | Accepting new patients |
| Unity Healthcare | Current | Accepting new patients | |
| Unity Healthcare | Single Specialty | Current | Accepting new patients |
Locations
4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724
1518 Mulberry Ave
Muscatine, IA 52761
Phone (563) 262-4110
2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200
Interoperability endpoints
- ajansen884816@direct.unitypoint.org
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.
-
- Emergency Medicine Physician
- Rock Island, IL
- NPI 1568414134
IL, Single Specialty
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Rural Health Clinic/Center
- Muscatine, IA
- NPI 1447802400
Hospital & facility affiliations 2
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": "1686787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779494400000",
"number": "1992480214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "634 N CODY RD",
"city": "LE CLAIRE",
"state": "IA",
"postal_code": "527539673",
"telephone_number": "608-732-9950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 UTICA RIDGE RD",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527221626",
"telephone_number": "309-779-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANSEN",
"first_name": "ALLYSON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-15",
"last_updated": "2026-05-23",
"certification_date": "2026-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "IA",
"license": "133097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bettendorf, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2026; 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.