KELLEY ANN PETERSON P.A.-C.
NPI 1477555886
Physician Assistant in West Des Moines, IA

NPI Status: Active since August 15, 2005

Contact Information

6000 UNIVERSITY AVE
SUITE 310
WEST DES MOINES, IA
ZIP 50266
Phone: (515) 277-8900
Fax: (515) 223-7361

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  • Individual
  • Female
  • Physician Assistant

About KELLEY PETERSON

This page provides the complete NPI Profile along with additional information for Kelley Peterson, a primary care provider established in West Des Moines, Iowa with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1477555886 assigned on August 2005. The practitioner's primary taxonomy code is 363A00000X with license number 01571 (IA). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1477555886
Provider Name
KELLEY ANN PETERSON P.A.-C.
Other Name
KELLEY ANN FAUSHER P.A.-C.
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
6000 UNIVERSITY AVE SUITE 310 WEST DES MOINES, IA 50266
Location Phone
(515) 277-8900
Location Fax
(515) 223-7361
Mailing Address
13682 LAKE SHORE DR CLIVE, IA 50325
Mailing Phone
(515) 277-8900
Mailing Fax
(515) 223-7361
Is Sole Proprietor?
No
Enumeration Date
08-15-2005
Last Update Date
07-08-2007
Code Navigator

A primary care provider (PCP) like Kelley Peterson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
01571
License State
IA
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
P11180MEDICARE UPIN (02) 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1477555886, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
8
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 5 → 10 → 1 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 4 + 7 + 1 + 0 + 5 + 1 + 0 + 8 + 1 + 6 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1477555886.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Child & Adolescent Psychiatry)
6000 UNIVERSITY AVE, SUITE 200
WEST DES MOINES, IA 50266
Otolaryngology
6000 UNIVERSITY AVE, SUITE 230
WEST DES MOINES, IA 50266
Nurse Practitioner (Pediatrics)
6000 UNIVERSITY AVE, SUITE 100
WEST DES MOINES, IA 50266
Obstetrics & Gynecology
6000 UNIVERSITY AVE, SUITE 203
WEST DES MOINES, IA 50266
Nurse Practitioner (Adult Health)
6000 UNIVERSITY AVE, SUITE 201
WEST DES MOINES, IA 50266
Family Medicine
6000 UNIVERSITY AVE, SUITE 101
WEST DES MOINES, IA 50266
Internal Medicine
6000 UNIVERSITY AVE, SUITE 201
WEST DES MOINES, IA 50266
Family Medicine
6000 UNIVERSITY AVE, SUITE 101
WEST DES MOINES, IA 50266
Family Medicine
6000 UNIVERSITY AVE, SUITE 101
WEST DES MOINES, IA 50266
Pediatrics
6000 UNIVERSITY AVE, SUITE 100
WEST DES MOINES, IA 50266
Physician Assistant
6000 UNIVERSITY AVE, SUITE 101
WEST DES MOINES, IA 50266
Obstetrics & Gynecology
6000 UNIVERSITY AVE, SUITE 203
WEST DES MOINES, IA 50266
Nurse Practitioner (Obstetrics & Gynecology)
6000 UNIVERSITY AVE, SUITE 203
WEST DES MOINES, IA 50266
Family Medicine
6000 UNIVERSITY AVE, SUITE 101
WEST DES MOINES, IA 50266
Plastic Surgery
6000 UNIVERSITY AVE, SUITE 400
WEST DES MOINES, IA 50266
Social Worker
6000 UNIVERSITY AVE, COUNSELING CENTERS FOR CENTRAL IOWA
WEST DES MOINES, IA 50266
Social Worker
6000 UNIVERSITY AVE, SUITE 200
WEST DES MOINES, IA 50266
Psychologist (Clinical)
6000 UNIVERSITY AVE, SUITE 200
WEST DES MOINES, IA 50266
Marriage & Family Therapist
6000 UNIVERSITY AVE, SUITE 200
WEST DES MOINES, IA 50266
Psychologist
6000 UNIVERSITY AVE, SUITE 200
WEST DES MOINES, IA 50266

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477555886, enumerated as an "individual" on August 15, 2005.

The provider is located at 6000 UNIVERSITY AVE SUITE 310 WEST DES MOINES, IA 50266 and the phone number is (515) 277-8900.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.