Individual provider Active NPI

Nick Stull, ARNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Ames, IA
National Provider Identifier
1053935890
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G159093 Issued in IA
Practice address
3600 Lincoln Way Ste 4
Ames, IA 50014-7595
Phone
(515) 239-4410
Fax
(515) 663-4885
NPI assigned
Jun 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G159093 IA Primary

Addresses

Primary practice location

3600 Lincoln Way Ste 4
Ames, IA 50014-7595

Mailing address

3600 Lincoln Way Ste 4
Ames, IA 50014-7595
Phone (515) 239-4410

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
I20200729003497 IA Practitioner - Nurse Practitioner 2769807361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ames Counseling and Psychological Services PCGroup PAC ID 8921090374, 9 clinicians

Practice addresses (Care Compare)

3600 Lincoln Way
Suite 4
Ames, IA 50014-7595
Phone (515) 239-4410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ames Counseling and Psychological Services PC CurrentSince Feb 1, 2024 Accepting new patients
Integrative Counseling Solutions Inc. PastSince Nov 1, 2022 Accepting new patients

Locations

3600 Lincoln Way
Ste 4
Ames, IA 50014
Phone (515) 239-4410

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1591488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1053935890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 LINCOLN WAY STE 4",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500147595",
            "telephone_number": "515-239-4410",
            "fax_number": "515-663-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 LINCOLN WAY STE 4",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500147595",
            "telephone_number": "515-239-4410",
            "fax_number": "515-663-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STULL",
        "first_name": "NICK",
        "name_prefix": "Mr.",
        "credential": "ARNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-07",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G159093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

Verify at the official NPI Registry.