NPIMap

Individual provider Active NPI

Blake C Williams, ARNP

  • Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1245624626
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A125157 Issued in IA
Practice address
1215 Pleasant St Ste 506
Des Moines, IA 50309-1418
Phone
(515) 241-4044
NPI assigned
Mar 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A125157 IA
Nurse Practitioner 363L00000X A125157 IA Primary

Addresses

Primary practice location

1215 Pleasant St Ste 506
Des Moines, IA 50309-1418

Mailing address

1215 Pleasant St Ste 506
Des Moines, IA 50309-1418
Phone (515) 241-4044

Other identifiers 1

IdentifierTypeStateIssuer
1245624626MedicaidIA

Other names 1

  • Ms. Blake C Bruner Former name

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
I20150429000387 IA Practitioner - Nurse Practitioner 1658690458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Iowa Hospital CorporationGroup PAC ID 1052229275, 233 clinicians

Practice addresses (Care Compare)

1215 Pleasant St
Suite 506
Des Moines, IA 50309-1418
Phone (515) 241-4142

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Central Iowa Hospital Corporation CurrentSince Apr 6, 2015 Accepting new patients
Central Iowa Hospital Corporation CurrentSince Apr 6, 2015 Accepting new patients
Central Iowa Hospital Corporation Family Current Accepting new patients

Locations

1215 Pleasant St
Ste 506
Des Moines, IA 50309
Phone (515) 214-4044

1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926

1200 Pleasant St
Ste S228
Des Moines, IA 50309

Interoperability endpoints

  • Direct secure messaging: bwilliams16914@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.

Hospital & facility affiliations 7

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": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1245624626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 PLEASANT ST STE 506",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091418",
            "telephone_number": "515-241-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 PLEASANT ST STE 506",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091418",
            "telephone_number": "515-241-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BLAKE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-24",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A125157",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A125157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245624626",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLAKE",
            "last_name": "BRUNER",
            "middle_name": "C",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.