Provider Demographics
NPI:1205864576
Name:JENSEN SCHNEIDER, MELEAH R (PA-C)
Entity Type:Individual
Prefix:
First Name:MELEAH
Middle Name:R
Last Name:JENSEN SCHNEIDER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:MELEAH
Other - Middle Name:R
Other - Last Name:JENSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1215 DUFF AVE
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-5400
Mailing Address - Country:US
Mailing Address - Phone:515-239-4400
Mailing Address - Fax:
Practice Address - Street 1:421 E MERLE HIBBS BLVD
Practice Address - Street 2:MCFARLAND CLINIC. PC
Practice Address - City:MARSHALLTOWN
Practice Address - State:IA
Practice Address - Zip Code:50158-1992
Practice Address - Country:US
Practice Address - Phone:641-752-5469
Practice Address - Fax:641-844-2205
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001648363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAP01091014OtherRR MEDICARE
IAQ52411Medicare UPIN
IAI16015Medicare ID - Type Unspecified