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

Individual provider Physician Assistant · NPI 1093575813

Katherine Jo Tupper, PA-C is a Physician Assistant in Ankeny, Iowa. Qualified in 2023, 3 years ago. Practices with Iowa Physicians Clinic Medical Foundation, a 1,242-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
3
Licensed in
IA
In the registry since
2024
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

350 NE 36th St
Ankeny, IA 50021-6728
Phone: (515) 224-1414
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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 123676 (IA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1093575813
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 20, 2024
Last updated in NPPESMarch 20, 2024
Certification dateFebruary 28, 2024
Mailing address2430 Fayette Ave, Ionia, IA 50645-9576

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Iowa Physicians Clinic Medical Foundation — 1242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Ankeny