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Individual provider Active NPI

Nadia Clark, ARNP

  • Family Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1376106302
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A154370 Issued in IA
Practice address
5608 SW 9TH St
Des Moines, IA 50315-5003
Phone
(515) 285-3070
NPI assigned
Apr 16, 2019
Last updated
Jun 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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 A154370 IA Primary

Addresses

Primary practice location

5608 SW 9TH St
Des Moines, IA 50315-5003

Mailing address

5132 N Elston Ave
Chicago, IL 60630-2429
Phone (842) 235-6130

Other practice location 1

815 High Rd
Norwalk, IA 50211-1462
Phone (515) 981-4269

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
I20190709001765 IA Practitioner - Nurse Practitioner 5991030298 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Geriatric ServicesGroup PAC ID 4587887088, 36 clinicians
Metro Geriatric Services 2 LLCGroup PAC ID 5496260473, 10 clinicians

Practice addresses (Care Compare)

1401 50TH St
Suite 100
West Des Moines, IA 50266-5924
Phone (515) 225-7132

4911 SW 19TH St
Fleur Heights Care Center
Des Moines, IA 50315-4484
Phone (515) 285-2559

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
16.87 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
56.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP CurrentSince Feb 6, 2025 Accepting new patients
Metro Geriatric Services CurrentSince Feb 1, 2022 Accepting new patients
Metro Geriatric Services 2 LLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

13435 University Ave
Ste 500
Clive, IA 50325

2001 Kennedy St
Granger, IA 50109
Phone (515) 999-2588

1401 50th St
Ste 100
West Des Moines, IA 50266
Phone (515) 225-1845

1501 50th St
Ste 110
West Des Moines, IA 50266

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1376106302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5132 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302429",
            "telephone_number": "842-235-6130",
            "fax_number": "847-235-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5608 SW 9TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503155003",
            "telephone_number": "515-285-3070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 High Rd",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "IA",
            "postal_code": "502111462",
            "country_code": "US",
            "telephone_number": "515-981-4269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "NADIA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A154370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.