Healthcare Provider Details

I. General information

NPI: 1043039159
Provider Name (Legal Business Name): ALYSSA A MONSON PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2024
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6000 UNIVERSITY AVE STE 450
WEST DES MOINES IA
50266-8229
US

IV. Provider business mailing address

7111 W 151ST ST STE 303
OVERLAND PARK KS
66223-2231
US

V. Phone/Fax

Practice location:
  • Phone: 515-241-2010
  • Fax: 515-241-2009
Mailing address:
  • Phone: 913-549-3884
  • Fax: 913-273-3343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number2024037710
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number132130
License Number StateIA
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number15-02980
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: