Individual provider Active NPI

Sara Katherine Lockner, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1215213707
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G-110617 Issued in IA
Practice address
700 E University Ave
Iowa Health Systems--Ia Lutheran
Des Moines, IA 50316-2302
Phone
(515) 263-5612
NPI assigned
Oct 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G-110617 IA Primary

Addresses

Primary practice location

700 E University Ave
Iowa Health Systems--Ia Lutheran
Des Moines, IA 50316-2302

Mailing address

2518 Maryland Pike
Des Moines, IA 50310
Phone (515) 249-4098

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
I20120201000679 IA Practitioner - Nurse Practitioner 6507023645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broadlawns Medical CenterGroup PAC ID 3678466166, 302 clinicians

Practice addresses (Care Compare)

1801 Hickman Rd
Des Moines, IA 50314-1548
Phone (515) 282-2200

1801 Hickman Rd
Des Moines, IA 50314-1597

Merit-based Incentive Payment System (MIPS)

Final score
90.61 of 100Reported as group
Quality
75.16
Promoting interoperability
100
Improvement activities
40
Cost
76.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G-110617IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Broadlawns Medical Center CurrentSince Jun 15, 2021 Accepting new patients
Broadlawns Medical Center CurrentSince Jun 15, 2021 Accepting new patients
The Richmond Center PastSince Jun 26, 2008 Accepting new patients
Community and Family Resources Past Accepting new patients
Boone County Hospital Past Accepting new patients

Locations

1801 Hickman Rd
Bldg First
Des Moines, IA 50314

1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200

Interoperability endpoints

  • Direct secure messaging: lockner.sara@cynchealthdsm.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1215213707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2518 MARYLAND PIKE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "50310",
            "telephone_number": "515-249-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E UNIVERSITY AVE",
            "address_2": "IOWA HEALTH SYSTEMS--IA LUTHERAN",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503162302",
            "telephone_number": "515-263-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKNER",
        "first_name": "SARA",
        "middle_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-27",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G-110617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.