Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer A Vandivier, PA-C

Individual provider Physician Assistant · NPI 1225081482

Jennifer A Vandivier, PA-C is a Physician Assistant in West Des Moines, Iowa. Qualified in 2002, 24 years ago. Practices with Dermatology PC, a 16-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
24
Licensed in
IA
In the registry since
2006
Specialties on file
2
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

6000 University Ave Ste 450
West Des Moines, IA 50266-8203
Phone: (515) 241-2000
Fax: (515) 241-2005
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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 001425 (IA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 001425 (IA)

Record details

NPI number1225081482
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 18, 2006
Last updated in NPPESJuly 13, 2026
Certification dateMay 7, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Dermatology Pc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in West Des Moines