Individual provider Active NPI

Mary Elise Owens, ARNP

  • Nurse Practitioner
  • Altoona, IA
National Provider Identifier
1295602472
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A187696 Issued in IA
Practice address
160 Adventureland Dr NW Ste C
Altoona, IA 50009-4232
Phone
(515) 875-9020
Fax
(515) 875-9021
NPI assigned
Oct 21, 2025
Last updated
Dec 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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 A187696 IA Primary

Addresses

Primary practice location

160 Adventureland Dr NW Ste C
Altoona, IA 50009-4232

Mailing address

PO Box 424
Des Moines, IA 50302-0424
Phone (515) 875-9255

Other names 1

  • Elise Owens Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maryeliseowens@tic.allscriptsdirect.net Direct

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
I20251112002336 IA Practitioner - Nurse Practitioner 3375034846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Iowa Clinic PCGroup PAC ID 4082513742, 307 clinicians

Practice addresses (Care Compare)

160 Adventureland Dr NW
Suite C
Altoona, IA 50009-4232
Phone (515) 875-9100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A187696IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Iowa Clinic PC CurrentSince Dec 15, 2025 Accepting new patients
The Iowa Clinic, PC CurrentSince Dec 15, 2025 Accepting new patients

Locations

160 Adventureland Dr NW
Ste C
Altoona, IA 50009
Phone (515) 875-9020

1005 Pennsylvania Ave
Ste 102A
Ottumwa, IA 52501
Phone (641) 684-2589

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.

NPI Registry JSON

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

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1295602472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 424",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503020424",
            "telephone_number": "515-875-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 ADVENTURELAND DR NW STE C",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500094232",
            "telephone_number": "515-875-9020",
            "fax_number": "515-875-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "MARY",
        "middle_name": "ELISE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A187696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maryeliseowens@tic.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "160 Adventureland Dr NW Ste C",
            "city": "Altoona",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500094232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELISE",
            "last_name": "OWENS",
            "credential": "ARNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Altoona, IA

Sources for this page

Verify at the official NPI Registry.