NPIMap

Individual provider Active NPI

Nermin Imsirovic, ARNP

  • Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1033763073
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A155885 Issued in IA
Practice address
1111 6TH Ave
Des Moines, IA 50314-2613
Phone
(515) 247-4240
Fax
(515) 247-4239
NPI assigned
Jul 29, 2019
Last updated
Jul 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A155885 IA Primary
Family Nurse Practitioner 363LF0000X A155885 IA

Addresses

Primary practice location

1111 6TH Ave
Des Moines, IA 50314-2613

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 247-4240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200103002345 IA Practitioner - Nurse Practitioner 1052745775 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison County Memorial HospitalGroup PAC ID 6002727179, 42 clinicians
Dallas County HospitalGroup PAC ID 9931094257, shared by 6 NPIs, 13 clinicians

Practice addresses (Care Compare)

300 W Hutchings St
Winterset, IA 50273-2104
Phone (515) 462-2373

610 10TH St
Perry, IA 50220-2221
Phone (515) 465-7555

610 10TH St
Perry, IA 50220-2249

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A155885IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Dallas County Hospital Nurse Practitioner CurrentSince Jun 1, 2025 Accepting new patients
Madison County Memorial Hospital CurrentSince Feb 23, 2026 Accepting new patients
Monroe County Hospital Current Accepting new patients
Monroe County Hospital Nurse Practitioner Current Accepting new patients
Madison County Memorial Hospital CurrentSince Feb 23, 2026 Accepting new patients
Dallas County Hospital Current Accepting new patients
Monroe County Hospital Nurse Practitioner CurrentSince Apr 1, 2022 Accepting new patients
Madison County Memorial Hospital CurrentSince Feb 23, 2026 Accepting new patients
Dallas County Hospital CurrentSince Jun 1, 2025 Accepting new patients

Locations

6580 165th St
Albia, IA 52531
Phone (641) 932-1756

1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121

610 10th St
Perry, IA 50220
Phone (515) 465-3547

300 W Hutchings St
Winterset, IA 50273
Phone (515) 223-4368

Interoperability endpoints

  • Direct secure messaging: nimsirovic844496@direct.unitypoint.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1033763073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-247-4240",
            "fax_number": "515-247-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 6TH AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142613",
            "telephone_number": "515-247-4240",
            "fax_number": "515-247-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMSIROVIC",
        "first_name": "NERMIN",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A155885",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A155885",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.