Active NPI
Alissa Renae Kruger, ARNP
- Family Nurse Practitioner
- West Des Moines, IA
National Provider Identifier
1306287016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A122730
- Practice address
- 4949 Westown Pkwy
Ste 100
West Des Moines, IA 50266-6704 - Phone
- (515) 327-2000
- Fax
- (515) 327-2019
- NPI assigned
- Jul 10, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A122730 | IA | Primary |
Addresses
Primary practice location
4949 Westown Pkwy
Ste 100
West Des Moines, IA 50266-6704
Mailing address
403 1St St SE
Belmond, IA 50421-1201
Phone (641) 444-3500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A122730 | IA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urban Effects Medspa Inc. | Family | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Nurse Practitioner
- Clive, IA
- NPI 1649560236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431907200000",
"number": "1306287016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 1ST ST SE",
"city": "BELMOND",
"state": "IA",
"postal_code": "504211201",
"telephone_number": "641-444-3500",
"fax_number": "641-444-5688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4949 WESTOWN PKWY",
"address_2": "STE 100",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502666704",
"telephone_number": "515-327-2000",
"fax_number": "515-327-2019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUGER",
"first_name": "ALISSA",
"middle_name": "RENAE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-10",
"last_updated": "2015-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A122730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.