Alisa Mae Bengen

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · West Des Moines, IA

NPI 1104733427 · NPPES record last updated Aug 24, 2026

Key facts

NPI
1104733427
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
8025 Grand Ave
West Des Moines, IA 50266-5360
Phone
(515) 271-1569
NPI assigned
Aug 24, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X IA Yes

Addresses

Primary practice location

8025 Grand Ave
West Des Moines, IA 50266-5360

Mailing address

1127 Algonquin Dr
Cedar Falls, IA 50613-8163

Other providers in West Des Moines, IA

All providers in West Des Moines, IA · Student in an Organized Health Care Education/Training Program in Iowa

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2026. Information in NPPES is self-reported and not verified by CMS.
  • NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.