Stefanie Gatica, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A093449 Issued in IA

Practice address

1850 SW Plaza Shops LN Ste a
Ankeny, IA 50023-7168

Phone

(515) 965-5677

Fax

(515) 965-4343

NPI assigned

Jul 17, 2006

Last updated

Jan 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Revive Clinic and Spa

  dba Revive Dermatology Clinic and Spa

  • Family Nurse Practitioner
  • Ankeny, IA
  • NPI 1205479888
  Medicare reassignment NPD Authorized official
• Knoxville Community Hospital Inc

  dba Knoxville Hospital & Clinics

  • Emergency Medicine Physician
  • Knoxville, IA
  • NPI 1770591661
  Medicare reassignment NPD
• Knoxville Community Hospital Inc

  dba Knoxville Hospital & Clinics

  • Family Medicine Physician
  • Knoxville, IA
  • NPI 1578570677
  NPD
• Hy Vee Iowa Health LC

  dba Iowa Health Express Care

  • Nurse Practitioner
  • Ankeny, IA
  • NPI 1801044581
  NPD (past)
• Rural Iowa Specialty Physicians Consortium Inc

  • Surgery Physician
  • West Des Moines, IA
  • NPI 1366622946
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1093732828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 SW PLAZA SHOPS LN STE A",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500237168",
            "telephone_number": "515-965-5677",
            "fax_number": "515-965-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 SW PLAZA SHOPS LN STE A",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500237168",
            "telephone_number": "515-965-5677",
            "fax_number": "515-965-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATICA",
        "first_name": "STEFANIE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A093449",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "093449",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Kathryn Gannon-Palmer, D.D.S.
• Kathleen Rita Gannon, D.O.
• Mark Gardalen, PHARMD
• Alexander Jovanni Garrido, PT, DPT
• Jennie Sayee Garsaynee
• Clara Gaul, LMSW
• Emily S Gavin, MD
• Claire Geiman, LMSW
• Stanislav Gelfond, DDS
• Genesis Home Living LLC

• Family Nurse Practitioner in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.