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

Jonathan L. Kilstrom, PA-C

Individual provider Physician Assistant · NPI 1740695899

Jonathan L. Kilstrom, PA-C is a Physician Assistant in Council Bluffs, Iowa. Qualified in 2014, 12 years ago. Practices with Pgfhgs Holdings LLC, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Iowa and Texas.

Years since qualifying
12
Licensed in
IA, TX
In the registry since
2014
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

933 E Pierce St
Council Bluffs, IA 51503-4626
Phone: (712) 396-6111
Fax: (712) 396-7026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5950 University Ave Ste 105, West Des Moines, IA 50266-7756 — (515) 875-9070

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 081384 (IA)
Physician Assistant Taxonomy 363A00000X · Licence PA09172 (TX)

Record details

NPI number1740695899
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 27, 2014
Last updated in NPPESOctober 2, 2019
Mailing addressPo Box 2797, Omaha, NE 68103-2797

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Pgfhgs Holdings Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Council Bluffs