KAREN K EMMERT (PHYSICIAN ASSISTANT) – Medical Physician Assistant, NPI 1720058423

KAREN K EMMERT (PHYSICIAN ASSISTANT) is a healthcare provider. based in Ankeny, Iowa. specializing in Medical Physician Assistant. They hold the professional credentials PHYSICIAN ASSISTANT. They hold a License No. 001094 (IA). The NPI Number for KAREN K EMMERT (PHYSICIAN ASSISTANT) is 1720058423

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
KAREN K EMMERT (PHYSICIAN ASSISTANT)
NPI
1720058423
Phone
(515) 875-9696
Address
1410 SW Tradition Dr Ste 110
Enumeration Date
25 January 2006
Last Update Date
29 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5158759100
Graduation Year
1997 (29 years ago)
PAC ID
2365635869
Group Practice PAC ID
4082513742
Professional Enrollment ID
I20101019000604
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for KAREN K EMMERT (PHYSICIAN ASSISTANT)

  • 1410 SW Tradition Dr Ste 110

    Ankeny, IA 500239188

    Phone: (515) 875-9696

    Fax: (515) 875-9697

    Type: Location

  • Pella Medical Clinic, 405, Monroe Street, Pella, Marion County, Iowa, 50219, United States

    PELLA, IA 502191189

    Phone: (641) 628-3832

    Fax: (641) 628-8894

    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: 2010-10-19

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101019000604IPhysician 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
99213Established patient office or other outpatient visit, 20-29 minutes2423$0
View full utilization report →

Insurance plans in this area (ZIP 50023)

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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: 4082513742View full group profile
NameSpecialtyState
Family PracticeIA
Nurse PractitionerIA
P O D I A T R YIA
Internal MedicineIA
Family PracticeIA
-IA
Family PracticeIA
Orthopedic SurgeryMO
Internal MedicineIA
Family PracticeIA

Reviews

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Frequently asked questions

Is there an official ID for KAREN K EMMERT (PHYSICIAN ASSISTANT) in U.S. healthcare records?
The official identifier for KAREN K EMMERT (PHYSICIAN ASSISTANT) is NPI 1720058423.
Is KAREN K EMMERT (PHYSICIAN ASSISTANT) still an active registrant?
KAREN K EMMERT (PHYSICIAN ASSISTANT) carries an active NPI according to the public dataset.
What expertise is attributed to KAREN K EMMERT (PHYSICIAN ASSISTANT)?
KAREN K EMMERT (PHYSICIAN ASSISTANT)'s specialty line reads Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with KAREN K EMMERT (PHYSICIAN ASSISTANT)?
Directory geography for KAREN K EMMERT (PHYSICIAN ASSISTANT) centers on Ankeny, Iowa.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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