JENNIFER FAE WILSBACHER (NPI# 1124278593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124278593 |
| Entity Type | Individual |
| Full Name | JENNIFER FAE WILSBACHER |
| Other Name | JENNIFER WEGINER |
| Credential | PA-C |
| Practice Address |
2304 University Ave Des Moines IA 50311-4316 |
| Mailing Address |
818 5th Ave Ste 200 Des Moines IA 50309-1303 |
| Practice Telephone | 8778117526 |
| Practice Fax Number | 5152809525 |
| Mailing Telephone | 8778117526 |
| Mailing Fax Number | 5152809525 |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2018-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 001931 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 1082489 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0057570 | 05 |
| Street Address |
2304 UNIVERSITY AVE |
| City | DES MOINES |
| State | IA |
| Zip Code | 50311-4316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710927066 | Planned Parenthood of The Heartland | Nurse Practitioner | 2304 University Ave, Des Moines, IA 50311-4316 | 2006-06-07 |
| 1578047791 | Anna Blanchett | Nurse Practitioner | 2304 University Ave, Des Moines, IA 50311-4316 | 2018-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518517986 | Gina Nichols | Technician | 1529 61st St, Des Moines, IA 50311 | 2019-09-17 |
| 1841429990 | Joann E Lambert | Counselor | 4900 University Ave Suite 210, Des Moines, IA 50311 | 2009-07-10 |
| 1609005750 | Michael L Hopkins | Psychologist | 4900 University Ave, Suite 210, Des Moines, IA 50311 | 2009-07-10 |
| 1598971491 | Dennis P O'meara | Dentist | 1000 73rd St., Suite 7, Des Moines, IA 50311 | 2007-05-15 |
| 1093877979 | Drs Work and Carlson PC | Dentist | 1145 66th St, Des Moines, IA 50311 | 2006-12-15 |
| 1427128370 | Daniel Phillip Bartlett | Dentist | 1000 73rd St Ste 1, Des Moines, IA 50311 | 2006-11-08 |
| 1710057096 | Randall James Ruisch | Dentist | 1000 73rd St., Ste 1, Des Moines, IA 50311 | 2006-11-08 |
| 1053407569 | Robert C. Margeas | Dentist | 1233 63rd St., Des Moines, IA 50311 | 2006-10-04 |
| 1356434872 | Mary Susan Knapp | Social Worker | 6957 University Ave., Windsor Heights, IA 50311 | 2006-10-02 |
| 1598877755 | O'meara Dental | Dentist | 1000 73rd Street, Suite 7, Des Moines, IA 50311 | 2006-08-31 |
| Find all providers in zip 50311 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346808367 | Haley Lynne Galligan | Physician Assistant | 1111 6th Ave, East Tower, Suite B1, Des Moines, IA 50314-2610 | 2019-06-04 |
| 1922666452 | Mckenna Elizabeth Zimmerman | Physician Assistant | 1301 Penn Ave Ste 213, Des Moines, IA 50316-2365 | 2019-05-30 |
| 1710463708 | Mary Jane Mills | Physician Assistant | 1344 Park Ave, Des Moines, IA 50315-7574 | 2018-07-13 |
| 1972989721 | Jayson Gesulga | Physician Assistant | 600 E Court Ave, Ste 200, Des Moines, IA 50309-2058 | 2015-08-04 |
| 1649525817 | Kelly N Gann | Physician Assistant | 3200 Grand Ave Fl 6, Des Moines, IA 50312-4104 | 2012-07-13 |
| 1518275247 | Jason Richard Tentinger | Physician Assistant | 3850 Merle Hay Rd, Suite 500, Des Moines, IA 50310-1330 | 2010-09-15 |
| 1750618401 | Jasmina Salcinovic-spahic | Physician Assistant | 200 Army Post Rd., Ste 26, Des Moines, IA 50315-6203 | 2009-11-17 |
| 1871724161 | Tonya Norvell Diehn | Physician Assistant | 3509 E 29th Street, Des Moines, IA 50317 | 2009-08-04 |
| 1174613996 | Deborah Maria Giddings | Physician Assistant | 1511 Thompson Ave, Des Moines, IA 50316-1625 | 2006-10-13 |
| 1649210774 | Paul A Snowdy | Physician Assistant | 6601 Sw 9th St, Des Moines, IA 50315-6138 | 2006-06-07 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50311 |
Please comment or provide details below to improve the information on JENNIFER FAE WILSBACHER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.