Individual provider Active NPI

Stephanie Sinclair, ARNP

  • Pediatric Nurse Practitioner
  • Ankeny, IA
National Provider Identifier
1295821494
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
A098290 Issued in IA
Practice address
800 E 1St St Ste 2200
Ankeny, IA 50021
Phone
(515) 643-9000
Fax
(515) 643-7509
NPI assigned
Oct 5, 2006
Last updated
Jun 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X A098290 IA Primary
Nurse Practitioner 363L00000X A098290 IA

Addresses

Primary practice location

800 E 1St St Ste 2200
Ankeny, IA 50021

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-9000

Other identifiers 2

IdentifierTypeStateIssuer
02604OtherIAWELLMARK BLUE SHIELD
71087OtherIAWELLMARK BLUE SHIELD

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
I20050511001007 IA Practitioner - Nurse Practitioner 5294775938 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A098290IAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinics, Inc. CurrentSince Jun 1, 2013 Accepting new patients
Mercy Clinics, Inc CurrentSince Jun 1, 2013 Accepting new patients
Mercy Clinics, Inc. Current Accepting new patients
Boone County Hospital Past Accepting new patients
Mercy Clinics, Inc. Nurse Practitioner Past Accepting new patients

Locations

1601 NW 114th St
Ste 345
Des Moines, IA 50325
Phone (515) 222-7337

25 W Hickman Rd
Waukee, IA 50263
Phone (515) 358-0150

555 S 51st St
West Des Moines, IA 50265
Phone (515) 221-2751

Interoperability endpoints

  • Direct secure messaging: ssinclair3957785@direct.trinity-health.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, 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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1295821494",
    "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": "515-643-9000",
            "fax_number": "515-643-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 1ST ST STE 2200",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "50021",
            "telephone_number": "515-643-9000",
            "fax_number": "515-643-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINCLAIR",
        "first_name": "STEPHANIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IA",
            "license": "A098290",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A098290",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE SHIELD",
            "identifier": "02604",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE SHIELD",
            "identifier": "71087",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

Verify at the official NPI Registry.