NPIMap

Individual provider Active NPI

Lindsay Marie Miklo, ARNP

  • Nurse Practitioner
  • Urbandale, IA
National Provider Identifier
1205357464
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
H130609 Issued in IA
Practice address
4003 NW Urbandale Dr
Urbandale, IA 50322-7914
Phone
(515) 237-3985
Fax
(515) 237-3994
NPI assigned
Jun 28, 2017
Last updated
Nov 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X H130609 IA Primary

Addresses

Primary practice location

4003 NW Urbandale Dr
Urbandale, IA 50322-7914

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 237-3985

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170824002094 IA Practitioner - Nurse Practitioner 8527330638 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CH Specialty Services Ia PCGroup PAC ID 2466826102, 130 clinicians
Curana Health of Iowa PLLCGroup PAC ID 9133536113, 152 clinicians

Practice addresses (Care Compare)

444 N W View Dr
Osceola, IA 50213-8267
Phone (337) 991-9276

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
H130609IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Iowa PLLC CurrentSince Jun 21, 2023 Accepting new patients
CH Specialty Services Ia PC CurrentSince Jun 21, 2023 Accepting new patients

Locations

200 16th Ave E
Spc Care
Albia, IA 52531

444 N West View Dr
Osceola, IA 50213
Phone (641) 342-6061

444 N West View Dr
Spc Care
Osceola, IA 50213

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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 11

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": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1205357464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-237-3985",
            "fax_number": "515-237-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 NW URBANDALE DR",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503227914",
            "telephone_number": "515-237-3985",
            "fax_number": "515-237-3994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKLO",
        "first_name": "LINDSAY",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "H130609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

Verify at the official NPI Registry.