Individual provider Active NPI

Desire Christensen, MD

  • Psychiatry Physician
  • Iowa City, IA
National Provider Identifier
1083064216
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
R-10667 Issued in IA
Practice address
200 Hawkins Dr
Dept of Psychiatry
Iowa City, IA 52242
Phone
(319) 353-6314
NPI assigned
Jun 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X R-10667 IA Primary

Addresses

Primary practice location

200 Hawkins Dr
Dept of Psychiatry
Iowa City, IA 52242

Mailing address

1001 Pennsylvania Ave
Ottumwa, IA 52501-2186
Phone (641) 684-3400

Other practice location 1

1001 Pennsylvania Ave
Ottumwa, IA 52501-2186
Phone (641) 684-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, NE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210622000256 WI Practitioner - Psychiatry 4688967979 Reassigns benefits to 1 organization
I20230817003366 NE Practitioner - Psychiatry 4688967979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Platte Nebraska Hospital CorporationGroup PAC ID 6507856697, 237 clinicians

Practice addresses (Care Compare)

601 W Leota St
Great Plains Health
North Platte, NE 69101-6525
Phone (308) 568-8000

Hospital & facility affiliations

  • Great Plains Health Hospital, North Platte, NE, CCN 280065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Platte Nebraska Hospital Corporation Psychiatry CurrentSince Aug 14, 2023 Accepting new patients
Milwaukee Behavioral Health LLC Psychiatry CurrentSince Mar 1, 2022 Accepting new patients
North Platte Nebraska Hospital Corporation Current Accepting new patients
North Platte Nebraska Hospital Corporation Past Accepting new patients

Locations

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

1706 S 68th St
West Allis, WI 53214
Phone (414) 667-4800

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1466294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1083064216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 PENNSYLVANIA AVE",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525012186",
            "telephone_number": "641-684-3400",
            "fax_number": "641-683-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "address_2": "DEPT OF PSYCHIATRY",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52242",
            "telephone_number": "319-353-6314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 PENNSYLVANIA AVE",
            "address_purpose": "LOCATION",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525012186",
            "country_code": "US",
            "telephone_number": "641-684-3400",
            "fax_number": "641-683-2810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "DESIRE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-19",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "R-10667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.