Healthcare Provider Details

I. General information

NPI: 1801447404
Provider Name (Legal Business Name): JELENA RAUS MAY ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2019
Last Update Date: 11/23/2025
Certification Date: 11/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2006 N 4TH ST STE 200
INDIANOLA IA
50125-4500
US

IV. Provider business mailing address

PO BOX 674721
DALLAS TX
75267-4721
US

V. Phone/Fax

Practice location:
  • Phone: 515-461-9784
  • Fax: 515-461-9783
Mailing address:
  • Phone: 515-643-2519
  • Fax: 515-461-9783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberA156616
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: