MS. JESSICA A MATHISEN (PA-C) – Medical Physician Assistant, NPI 1043365026
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,648 PHYSICIAN ASSISTANT in IA
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Provider Addresses for MS. JESSICA A MATHISEN (PA-C)
Methodist Medical Plaza II, 1215, Pleasant Street, Sherman Hill, Des Moines, Polk County, Iowa, 50309, United States
SUITE 100
DES MOINES, IA 503901409
Phone: (515) 241-5710
Fax: (515) 241-8004
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $180.
Total Amount is formed as General ($180) + Research ($0) + Ownership ($0) = $180.
Last reported payment date: 2023-09-07 • Largest payer in this snapshot: Bard Peripheral Vascular, Inc. ($160).
Total Amount
$180
General + Research + Ownership
Payments
2
Total payment records
General Amount
$180
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bard Peripheral Vascular, Inc. | $160 |
| Fresenius USA Marketing, Inc. | $19 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-02-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070219000820 | I | Physician Assistant | IA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 33 | 19 | $0 |
Insurance plans in this area (ZIP 50390)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | IA | 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E P H R O L O G Y | IA | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | IA | |
| - | IA | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | FL | |
| Physician Assistant | IA | |
| Physician Assistant | IA | |
| N E P H R O L O G Y | MA |
Reviews
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