Individual provider Active NPI

Samantha Bonin, DNP, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1053056663
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
H166148 Issued in IA
Practice address
1215 Pleasant St Ste 414
Des Moines, IA 50309-1408
Phone
(515) 241-5700
NPI assigned
Apr 28, 2022
Last updated
Jan 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X H166148 IA Primary

Addresses

Primary practice location

1215 Pleasant St Ste 414
Des Moines, IA 50309-1408

Mailing address

1215 Pleasant St Ste 414
Des Moines, IA 50309-1408
Phone (515) 241-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220724000003 IA Practitioner - Nurse Practitioner 0345621215 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Iowa Hospital CorporationGroup PAC ID 1052229275, 233 clinicians

Practice addresses (Care Compare)

101 SE Destination Dr
Family Med Grimes
Grimes, IA 50111-6608
Phone (515) 986-4524

1215 Pleasant St
Suite 414
Des Moines, IA 50309-1408
Phone (515) 241-5700

2301 E 14TH St
Family Med Parks
Des Moines, IA 50316-1901
Phone (515) 262-0404

2515 Grand Prairie Pkwy
Waukee, IA 50263-8966
Phone (515) 644-9000

2515 SE State St
Ankeny, IA 50023-7079

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

6520 SE 14TH St
Des Moines, IA 50320-1846
Phone (515) 953-1500

801 Colonial Cir
Norwalk, IA 50211-9626
Phone (515) 285-3200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as group
Quality
83.65
Promoting interoperability
78
Improvement activities
40
Cost
76.53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Hospital Corporation CurrentSince Dec 19, 2022 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Central Iowa Hospital Corporation CurrentSince Dec 19, 2022 Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Mar 23, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jul 1, 2022 Accepting new patients

Locations

410 NW Ash Dr
Ankeny, IA 50023
Phone (515) 964-1101

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

1215 Pleasant St
Ste 414
Des Moines, IA 50309
Phone (515) 241-5700

400 E Court Ave
Ste 110
Des Moines, IA 50309

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: sbonin920615@direct.unitypoint.org

Organizations & group practices 5

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 5

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": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1053056663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 PLEASANT ST STE 414",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091408",
            "telephone_number": "515-241-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 PLEASANT ST STE 414",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091408",
            "telephone_number": "515-241-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONIN",
        "first_name": "SAMANTHA",
        "credential": "DNP, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-28",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IA",
            "license": "H166148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.