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HOLISTIC PSYCHIATRY PC
NPI 1316778855
Physician Assistant in Urbandale, IA

Active since August 07, 2024
2327 70TH ST, URBANDALE, IA 50322(515) 518-0460(515) 777-1950 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 26, 2024, Sep 14, 2024, Aug 25, 2024 and 1 more (4 updates tracked since 2024).

About Holistic Psychiatry Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLISTIC PSYCHIATRY PC (NPI 1316778855) is a healthcare organization registered as a physician assistant in Urbandale, Iowa and active in the NPI registry since August 2024. The organization lists Jayson Gesulga, President, as its authorized official.

NPPES Registry Identity

NPI1316778855
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameHOLISTIC PSYCHIATRY PC
Location Address2327 70TH STUrbandale, IA 50322-4825
Mailing Address2327 70th StUrbandale, IA 50322-4825 · (515) 518-0460 · Fax (515) 777-1950
Phone(515) 518-0460
Fax(515) 777-1950
Organization SubpartNo
Authorized OfficialJayson GesulgaPresident · (515) 518-0460
Enumeration DateAugust 7, 2024
Last NPPES UpdateSeptember 26, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
✔ NPI 1316778855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
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.
2327 70TH ST, Urbandale, IA 50322
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holistic Psychiatry Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Holistic Psychiatry PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Callie Brass, LMHC
Mental Health Counselor
NPI 1013376227
600 E COURT AVE SUITE 200
Des Moines, IA 50309
(515) 243-3525
✔ PECOS5.7 mi
Jessica Brassfield
Nurse Practitioner
NPI 1497550164
706 N DAVIS ST
Bloomfield, IA 52537
(319) 521-5221
✔ PECOS✔ Accepts Medicare90 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holistic Psychiatry PC's NPI number?

The NPI number for Holistic Psychiatry PC is 1316778855. It was assigned to this organization in the NPPES registry on August 7, 2024.

Where is Holistic Psychiatry PC located?

Holistic Psychiatry PC is located at 2327 70th St, Urbandale, IA 50322. The listed phone number is (515) 518-0460.

What is Holistic Psychiatry PC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Holistic Psychiatry PC enrolled in Medicare?

Yes. Holistic Psychiatry PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Holistic Psychiatry PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Holistic Psychiatry PC, in Mental Health Counselor and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Holistic Psychiatry PC was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.