Individual provider Active NPI

Abby L Greenlee, APRN

  • Family Nurse Practitioner
  • Storm Lake, IA
National Provider Identifier
1144697780
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A124520 Issued in IA
Practice address
630 Ontario St
Storm Lake, IA 50588-1845
Phone
(712) 213-2971
NPI assigned
Aug 31, 2015
Last updated
Feb 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A124520 IA Primary

Addresses

Primary practice location

630 Ontario St
Storm Lake, IA 50588-1845

Mailing address

720 S 10TH St
Sac City, IA 50583-2602
Phone (641) 330-4706

Other names 1

  • Abby L. Bunston Former name

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
I20151030001199 IA Practitioner - Nurse Practitioner 7315257557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Dermatology Clinic PLCGroup PAC ID 2961394713, 22 clinicians

Practice addresses (Care Compare)

6000 University Ave
Suite 350
West Des Moines, IA 50266-8219
Phone (515) 226-3116

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A124520IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Dermatology Clinic PLC Current Accepting new patients
Iowa Dermatology Clinic, PLC CurrentSince Feb 1, 2024 Accepting new patients
Iowa Dermatology Clinic PLC CurrentSince Feb 1, 2024 Accepting new patients
Iowa Dermatology Clinic PLC Current Accepting new patients
Boone County Hospital Past Accepting new patients

Locations

630 Ontario St
Storm Lake, IA 50588
Phone (712) 213-0109

6000 University Ave
Ste 350
West Des Moines, IA 50266
Phone (515) 226-8484

6800 Lake Dr
Ste 285
West Des Moines, IA 50266
Phone (515) 570-3980

Interoperability endpoints

  • Direct secure messaging: a.greenlee@iowaderm.emadirect.md

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1144697780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S 10TH ST",
            "city": "SAC CITY",
            "state": "IA",
            "postal_code": "505832602",
            "telephone_number": "641-330-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 ONTARIO ST",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505881845",
            "telephone_number": "712-213-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENLEE",
        "first_name": "ABBY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A124520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBY",
            "last_name": "BUNSTON",
            "middle_name": "L.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Storm Lake, IA

Sources for this page

Verify at the official NPI Registry.