KILEY G LOMEN (PA-C) – Physician Assistant, NPI 1063168664
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,648 PHYSICIAN ASSISTANT in IA
Provider Addresses for KILEY G LOMEN (PA-C)
1215 Pleasant St Ste 608
Des Moines, IA 503091418
Phone: (515) 875-9560
Fax: (515) 875-9561
Type: Location
Des Moines University- PA Program
3200 Grand Avenue
Des Moines, IA 503124198
Phone: (515) 271-1569
Type: Location
711 37TH ST
DES MOINES, IA 503123206
Phone: (513) 546-9282
Type: Mailing
DES MOINES UNIVERSITY- PA PROGRAM
3200 GRAND AVENUE
DES MOINES, IA 503124198
Phone: (515) 271-1569
Type: Location
PO BOX 1475
DES MOINES, IA 503051475
Phone: (515) 643-9400
Fax: (515) 643-9405
Type: Mailing
6601 SW 9TH ST
DES MOINES, IA 503156138
Phone: (515) 643-9400
Fax: (515) 643-9405
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2023-12-13
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 |
|---|---|---|---|---|
| I20231213001323 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 50309)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | IA | |
| P S Y C H I A T R Y | IA | |
| - | IA | |
| Family Practice | IA | |
| - | NE | |
| Emergency Medicine | IA | |
| Family Practice | IA | |
| - | IA | |
| Nurse Practitioner | IA | |
| - | IA |
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