Individual provider Active NPI

Lindy A Nordstrom, ARNP

  • Family Nurse Practitioner
  • Clive, IA
National Provider Identifier
1225584170
Registry record updated Aug 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A125369 Issued in IA
Practice address
1601 NW 114TH St Ste 230
Clive, IA 50325-7035
Phone
(515) 222-7761
Fax
(515) 222-7926
NPI assigned
Aug 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 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 A125369 IA Primary

Addresses

Primary practice location

1601 NW 114TH St Ste 230
Clive, IA 50325-7035

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 222-7761

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
I20161005002523 IA Practitioner - Nurse Practitioner 5395033443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinics IncGroup PAC ID 7911810882, 441 clinicians

Practice addresses (Care Compare)

1601 NW 114TH St
230 Mercyone Clive ENT Care Clinic
Clive, IA 50325-7035
Phone (515) 222-7761

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinics Inc CurrentSince Aug 21, 2024 Accepting new patients
Mercy Clinics, Inc. Family Current Accepting new patients

Locations

1015 Union St
Ste 120
Boone, IA 50036
Phone (512) 432-7766

1601 NW 114th St
Ste 230
Des Moines, IA 50325
Phone (515) 222-7728

1601 NW 114th St
Ste 247
Des Moines, IA 50325
Phone (515) 222-7000

2006 N 4th St
Indianola, IA 50125
Phone (515) 358-7660

5900 E University Ave
Ste 300
Pleasant Hill, IA 50327
Phone (515) 623-2600

Interoperability endpoints

  • Direct secure messaging: lnordstrom3953233@direct.trinity-health.org

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724457600000",
    "number": "1225584170",
    "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": "515-222-7761",
            "fax_number": "515-222-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NW 114TH ST STE 230",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503257035",
            "telephone_number": "515-222-7761",
            "fax_number": "515-222-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDSTROM",
        "first_name": "LINDY",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2024-08-24",
        "certification_date": "2024-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A125369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

Verify at the official NPI Registry.