JONATHAN L. KILSTROM PA-C
NPI 1740695899
Physician Assistant in Council Bluffs, IA

Q: What is Jonathan Kilstrom's NPI number?

The NPI number for Jonathan Kilstrom is 1740695899. It was assigned to this individual provider in the NPPES registry on June 27, 2014.

Q: What is Jonathan Kilstrom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jonathan Kilstrom was last updated on October 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 27, 2014PECOS EnrolledAccepts Medicare Assignment

933 E PIERCE ST, COUNCIL BLUFFS, IA 51503(712) 396-6111(712) 396-7026 Get Directions Write a Review

NPPES record last updated: October 2, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 2, 2019, Nov 7, 2016, Oct 26, 2016 (3 updates tracked since 2016).

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About Jonathan L. Kilstrom Pa-c NPPES

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

JONATHAN L. KILSTROM PA-C (NPI 1740695899) is an individual physician assistant in Council Bluffs, Iowa, licensed in Iowa (081384) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Methodist Jennie Edmundson, and maintains a secondary practice location in West Des Moines.

NPPES Registry Identity

NPI1740695899

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJONATHAN L. KILSTROMCredential: PA-C

Location Address933 E PIERCE STCouncil Bluffs, IA 51503-4626

Mailing AddressPo Box 2797Omaha, NE 68103-2797 · (402) 354-4230 · Fax (402) 354-6171

Phone(712) 396-6111

Fax(712) 396-7026

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJune 27, 2014

Last NPPES UpdateOctober 2, 20193 updates tracked since enumeration

✔ NPI 1740695899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in IA · 081384✔ Licensed in TX · PA09172

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.

933 E PIERCE ST, Council Bluffs, IA 51503

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Secondary Practice Location 1

Location 15950 University Ave Ste 105West Des Moines, IA 50266-7756 · Phone (515) 875-9070 · Fax (515) 875-9071

Other Identifiers 2

Medicaid420680355-12NE

Medicaid1740695899IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan L. Kilstrom Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486875051

PECOS Enrollment IDI20161101001145, I20250320000177

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

185 services177 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

74 services73 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

56 services54 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Methodist Jennie Edmundson

Acute Care Hospitals · Council Bluffs, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160047

Location933 East Pierce StreetCouncil Bluffs, IA 51503 · Pottawattamie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROL JEAN REEDER RD, LD

Dietitian, Registered