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

Mary Jane Mills, PA-C

Individual provider Physician Assistant · NPI 1710463708

Mary Jane Mills, PA-C is a Physician Assistant in Clive, Iowa. Qualified in 2018, 8 years ago. Practices with State University of Iowa, a 1,885-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
8
Licensed in
IA
In the registry since
2018
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

12495 University Ave Ste 200
Clive, IA 50325-8290
Phone: (515) 282-2921
Fax: (515) 282-1035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1950 Sw Magazine Rd, Ankeny, IA 50023-2977 — (515) 282-2921
  • 110 E Court Ave Ste 200, Des Moines, IA 50309-2044 — (515) 282-2921
  • 411 Laurel St Ste A300, Des Moines, IA 50314-3030 — (515) 282-2921
  • 404 Jefferson St, Pella, IA 50219-1257 — (515) 282-2921

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 092984 (IA)

Record details

NPI number1710463708
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 13, 2018
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice State University Of Iowa — 1885 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Clive