Active NPI
Patricia Lee Ferlitsch, ARNP, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Des Moines, IA
National Provider Identifier
1093287930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- G130063
- Practice address
- 1801 Hickman Rd
Des Moines, IA 50314-1505 - Phone
- (515) 282-5695
- NPI assigned
- Dec 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | G130063 | IA | Primary |
Addresses
Primary practice location
1801 Hickman Rd
Des Moines, IA 50314-1505
Mailing address
1801 Hickman Rd
Des Moines, IA 50314-1597
Phone (515) 282-5695
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G130063 | IA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restored Psychiatry and Wellness PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Broadlawns Medical Center | Current | Accepting new patients | |
| Broadlawns Medical Center | Current | Accepting new patients |
Locations
612 8th St SW
Altoona, IA 50009
Phone (515) 967-4124
1801 Hickman Rd
Bldg First
Des Moines, IA 50314
1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200
Organizations & group practices 3
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Urbandale, IA
- NPI 1902622822
-
- Pharmacy
- Des Moines, IA
- NPI 1013197060
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1467447508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547510400000",
"number": "1093287930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 HICKMAN RD",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503141597",
"telephone_number": "515-282-5695",
"fax_number": "515-282-5642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 HICKMAN RD",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503141505",
"telephone_number": "515-282-5695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERLITSCH",
"first_name": "PATRICIA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "ARNP, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-17",
"last_updated": "2019-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IA",
"license": "G130063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.