NPIMap

Organization Active NPI

Luna Mental Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • West Des Moines, IA
National Provider Identifier
1144903097
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LUNA MENTAL HEALTH PLLC
Practice address
1200 Valley West Dr Ste 503
West Des Moines, IA 50266-1906
Phone
(515) 468-3639
NPI assigned
Aug 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Authorized official

Name
Mrs. Kerri Leigh Patton, NPNPI 1457303653
Title
Arnp
Phone
(515) 468-3639

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1200 Valley West Dr Ste 503
West Des Moines, IA 50266-1906

Mailing address

3086 Cottonwood Dr
Waukee, IA 50263-8021
Phone (515) 468-3639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231017002522 IA Part B Supplier - Clinic/Group Practice 2769837335 Receives reassigned benefits from 5 practitioners
Practice locations: West Des Moines, IA

National Provider Directory

National Provider Directory

Locations

1200 Valley West Dr
Ste 503
West Des Moines, IA 50266
Phone (515) 468-3639

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1144903097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3086 COTTONWOOD DR",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638021",
            "telephone_number": "515-468-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 VALLEY WEST DR STE 503",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661906",
            "telephone_number": "515-468-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA MENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "KERRI",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "ARNP",
        "authorized_official_telephone_number": "515-468-3639",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.