Individual provider Active NPI

Hannah Jean Prange, ARNP

  • Family Nurse Practitioner
  • Ankeny, IA
National Provider Identifier
1396246815
Registry record updated Jan 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A132807 Issued in IA
Practice address
1055 SW Oralabor Rd
Ankeny, IA 50023-1280
Phone
(833) 977-2800
Fax
(515) 963-4603
NPI assigned
Feb 21, 2018
Last updated
Jan 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2023

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 A132807 IA Primary

Addresses

Primary practice location

1055 SW Oralabor Rd
Ankeny, IA 50023-1280

Mailing address

1055 SW Oralabor Rd
Ankeny, IA 50023-1280
Phone (833) 977-2800

Other practice location 1

405 Monroe St
Pella, IA 50219-1189
Phone (641) 621-2200

Other practice location 2

2733 86th St
Urbandale, IA 50322-4336
Phone (515) 987-5188

Other identifiers 2

IdentifierTypeStateIssuer
A132807OtherIALICENSE
1396246815MedicaidIA

Other names 1

  • Hannah Jean Norris Former name

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
I20180320001486 IA Practitioner - Nurse Practitioner 0446512073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3801 Cottage Grove Ave
Des Moines, IA 50311-3605
Phone (833) 977-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A132807IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Jan 16, 2023 Accepting new patients
Urban Effects Holdings PC Family PastSince Nov 7, 2018 Accepting new patients
Urban Effects Medspa Inc. Family Past Accepting new patients

Locations

1055 SW Oralabor Rd
Ankeny, IA 50023
Phone (515) 965-7661

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

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

Interoperability endpoints

  • Direct secure messaging: hprange920953@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, 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": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673740800000",
    "number": "1396246815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 SW ORALABOR RD",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500231280",
            "telephone_number": "833-977-2800",
            "fax_number": "515-963-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 SW ORALABOR RD",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500231280",
            "telephone_number": "833-977-2800",
            "fax_number": "515-963-4603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Monroe St",
            "address_purpose": "LOCATION",
            "city": "Pella",
            "state": "IA",
            "postal_code": "502191189",
            "country_code": "US",
            "telephone_number": "641-621-2200",
            "fax_number": "641-621-2335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2733 86th St",
            "address_purpose": "LOCATION",
            "city": "Urbandale",
            "state": "IA",
            "postal_code": "503224336",
            "country_code": "US",
            "telephone_number": "515-987-5188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRANGE",
        "first_name": "HANNAH",
        "middle_name": "JEAN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-21",
        "last_updated": "2023-01-15",
        "certification_date": "2023-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A132807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A132807",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396246815",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "NORRIS",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ankeny, IA

Sources for this page

Verify at the official NPI Registry.