JACOB AUSTIN GROEN (PA-C) – Physician Assistant, NPI 1205579984

JACOB AUSTIN GROEN (PA-C) is a healthcare provider. based in Des moines, Iowa. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 121696 (IA). The NPI Number for JACOB AUSTIN GROEN (PA-C) is 1205579984

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
JACOB AUSTIN GROEN (PA-C)
NPI
1205579984
Phone
(712) 301-4465
Address
4400 PARK AVE APT 73
Enumeration Date
19 April 2022
Last Update Date
5 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3193640121
Graduation Year
2023 (3 years ago)
PAC ID
7214381219
Group Practice PAC ID
3577467851
Professional Enrollment ID
I20230925003217
Address ID
IA524025340CE1948XNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,648 PHYSICIAN ASSISTANT in IA

Provider Addresses for JACOB AUSTIN GROEN (PA-C)

  • 4400 PARK AVE APT 73

    DES MOINES, IA 503211216

    Phone: (712) 301-4465

    Type: Mailing

  • 3200 GRAND AVE

    DES MOINES, IA 503124104

    Phone: (515) 271-1569

    Type: Location

  • 1948 1ST AVE NE

    CEDAR RAPIDS, IA 524025377

    Phone: (319) 364-0121

    Type: Mailing

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 $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2024-06-28 • Largest payer in this snapshot: Boston Scientific Corporation ($34).

Total Amount

$34

General + Research + Ownership

Payments

2

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-09-25

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230925003217IPhysician AssistantIATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
49083Drainage of fluid from abdominal cavity using imaging guidance2615$0
10005Fine needle aspiration biopsy using ultrasound guidance, first growth2020$0
32555Aspiration of fluid from chest cavity using imaging guidance1614$0
View full utilization report →

Insurance plans in this area (ZIP 50321)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577467851View full group profile
NameSpecialtyState
Diagnostic RadiologyIA
Diagnostic RadiologyMO
Diagnostic RadiologyIA
Interventional Radiology, Diagnostic RadiologyIA
Diagnostic RadiologyIA
Diagnostic RadiologyIA
Diagnostic Radiology, Interventional Radiology, Diagnostic RadiologyTX
Diagnostic RadiologyIA
-IA
Diagnostic RadiologyIA

Reviews

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Frequently asked questions

Is there an official ID for JACOB AUSTIN GROEN (PA-C) in U.S. healthcare records?
The official identifier for JACOB AUSTIN GROEN (PA-C) is NPI 1205579984.
Is JACOB AUSTIN GROEN (PA-C) shown as active in public data?
Registry records indicate JACOB AUSTIN GROEN (PA-C) maintains an active NPI.
What clinical focus is listed for JACOB AUSTIN GROEN (PA-C)?
At a glance, JACOB AUSTIN GROEN (PA-C) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is JACOB AUSTIN GROEN (PA-C) located near Des Moines?
JACOB AUSTIN GROEN (PA-C) currently maps to Des Moines, Iowa in this extract.
Can I trust this NPI listing for JACOB AUSTIN GROEN (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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