Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carissa Michelle Spain, PA-C

Individual provider Medical Physician Assistant · NPI 1053656116

Carissa Michelle Spain, PA-C is a Physician Assistant in Iowa City, Iowa. Qualified in 2012, 14 years ago. Practices with State University of Iowa, a 1,885-clinician group and accepts Medicare assignment. Licensed in Iowa and Illinois.

Years since qualifying
14
Licensed in
IA, IL
In the registry since
2012
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone: (563) 344-2240
Fax: (563) 344-2244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 002348 (IA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 002348 (IA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 002348 (IA)
Physician Assistant Taxonomy 363A00000X · Licence 085.004555 (IL)

Record details

NPI number1053656116
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 30, 2012
Last updated in NPPESMay 2, 2024
Certification dateMay 2, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice State University Of Iowa — 1885 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Iowa City