Active NPI
Amy L Lindgren, PNP
- Pediatric Nurse Practitioner
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- C086176
- Practice address
- 1212 Pleasant St Ste 300
Des Moines, IA 50309 - Phone
- (515) 241-8923
- Fax
- (515) 241-6497
- NPI assigned
- Oct 19, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 572623 | TX | |
| Pediatric Nurse Practitioner | 363LP0200X | C086176 | IA | Primary |
Addresses
Primary practice location
1212 Pleasant St Ste 300
Des Moines, IA 50309
Mailing address
1200 Pleasant Street
South 2 Room 236
Des Moines, IA 50309
Phone (515) 241-6228
Other practice location 1
1935 Medical District Dr
Childrens Medical Center
Dallas, TX 75235-7701
Phone (214) 456-1798
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0439654 | Medicaid | MT | |
| 1207890 | Other | MN | MEDICA-PRIMARY |
| 719824800 | Medicaid | MN | |
| 1200206 | Other | MN | MEDICA-CHOICE |
| 1015964 | Other | MN | PREFERRED ONE |
| 768229 | Other | MN | ARAZ |
| 116787 | Other | MN | UCARE |
| 157479 | Other | MN | FAIRVIEW |
| 45A42LI | Other | MN | BCBS |
| HP31992 | Other | MN | HEALTH PARTNERS |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 572623 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Iowa Hospital Corporation | Current | Accepting new patients | |
| Central Iowa Hospital Corporation | Current | Accepting new patients | |
| Central Iowa Hospital Corporation | Current | Accepting new patients | |
| St Luke's Methodist Hospital | Current | Accepting new patients |
Locations
1200 Pleasant St
Rm 236
Des Moines, IA 50309
Phone (515) 241-6228
1212 Pleasant St
Ste 300
Des Moines, IA 50309
Phone (515) 241-6000
1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926
Interoperability endpoints
- alindgren661461@direct.unitypoint.org
Organizations & group practices 4
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.
-
dba East Des Moines Family Care Center
- Family Medicine Physician
- Des Moines, IA
- NPI 1104879576
-
dba IMMC Outpatient Pharmacy
- Pharmacy
- Des Moines, IA
- NPI 1003352949
-
dba Blank Health Providers
- Pediatrics Physician
- Des Moines, IA
- NPI 1144309188
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546560000000",
"number": "1154403327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 PLEASANT STREET",
"address_2": "SOUTH 2 ROOM 236",
"city": "DES MOINES",
"state": "IA",
"postal_code": "50309",
"telephone_number": "515-241-6228",
"fax_number": "515-241-8685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 PLEASANT ST STE 300",
"city": "DES MOINES",
"state": "IA",
"postal_code": "50309",
"telephone_number": "515-241-8923",
"fax_number": "515-241-6497"
}
],
"practiceLocations": [
{
"address_1": "1935 Medical District Dr",
"address_2": "Childrens Medical Center",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752357701",
"country_code": "US",
"telephone_number": "214-456-1798",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LINDGREN",
"first_name": "AMY",
"middle_name": "L",
"credential": "PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2019-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "572623",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IA",
"license": "C086176",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0439654",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA-PRIMARY",
"identifier": "1207890",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "719824800",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA-CHOICE",
"identifier": "1200206",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1015964",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ",
"identifier": "768229",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "116787",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAIRVIEW",
"identifier": "157479",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "45A42LI",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP31992",
"state": "MN"
}
],
"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 4, 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.