JENNIFER BAGWELL DE LA ROSA (DO) – Family Medicine Physician, NPI 1417915208
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,656 FAMILY PRACTICE in IA
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Provider Addresses for JENNIFER BAGWELL DE LA ROSA (DO)
Heritage Family Pharmacy, 1201, West Agency Road, West Burlington, Des Moines County, Iowa, 52655, United States
WEST BURLINGTON, IA 526551645
Phone: (319) 754-4242
Fax: (319) 754-4079
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 1 Open Payments records for all available years, with a total value of $97.
Total Amount is formed as General ($97) + Research ($0) + Ownership ($0) = $97.
Last reported payment date: 2024-04-05 • Largest payer in this snapshot: Astellas Pharma US Inc ($97).
Total Amount
$97
General + Research + Ownership
Payments
1
Total payment records
General Amount
$97
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $97 |
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: 2009-07-09
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 |
|---|---|---|---|---|
| I20090709000525 | I | Family Practice | 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 | 634 | 269 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 158 | 116 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 111 | 111 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 17 | 17 | $0 |
| 99495 | Transitional care management services for problem of at least moderate complexity | 15 | 14 | $0 |
Insurance plans in this area (ZIP 52655)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | IA | |
| P S Y C H I A T R Y | IA | |
| Internal Medicine, Hospitalist, Internal Medicine | IA | |
| Certified Registered Nurse Anesthetist (Crna) | IA | |
| Nurse Practitioner | IA | |
| Family Practice | IA | |
| Internal Medicine, Hospitalist, Internal Medicine | TN | |
| Certified Registered Nurse Anesthetist (Crna) | IA | |
| Certified Registered Nurse Anesthetist (Crna) | IA | |
| Rheumatology, Internal Medicine | OH |
Reviews
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